What is a critical assessment finding in a client with severe depression that may indicate anorexia nervosa?

In a client with severe depression who may also be exhibiting signs of anorexia nervosa, brittle, dry nails can serve as a critical assessment finding. This symptom may reflect malnutrition or nutrient deficiencies commonly associated with anorexia, where the body lacks essential nutrients necessary for healthy hair, skin, and nails. Brittle and dry nails are often indicative of the physiological effects of insufficient caloric intake and nutrient absorption, which can occur in individuals with anorexia nervosa.

Moreover, monitoring physical signs like the condition of nails can provide valuable insight into a client's overall health status and help healthcare professionals identify the severity of their eating disorder or depressive symptoms. The presence of brittle nails, along with other physical indicators, can lead to a more comprehensive assessment and prompt interventions to address both psychological and physical health concerns in the client.