A nurse is assessing the client for manifestations of anorexia nervosa. Which of the following findings should the nurse expect? Select all that apply.

Choice A reason: Clients with anorexia nervosa often obsess about food, calories, and meal planning even while restricting intake. This preoccupation reflects the psychological fixation on food despite avoidance of eating. Choice B reason: Clients with anorexia nervosa usually have a distorted body image and believe they are overweight, not underweight. They rarely express a desire to gain weight, so this finding is inconsistent with the disorder. Choice C reason: Severely restricted caloric intake is a hallmark of anorexia nervosa. Consuming only about 600 calories daily is far below normal requirements and leads to malnutrition and systemic complications. Choice D reason: Malnutrition causes brittle, thinning hair due to inadequate protein and nutrient intake. This physical manifestation is common in anorexia nervosa. Choice E reason: Fatigue and loss of interest in daily activities occur due to low energy availability and psychological depression. The body lacks sufficient energy for normal functioning. Choice F reason: Lanugo, or soft unpigmented hair, develops as a compensatory mechanism to insulate the body when subcutaneous fat is lost. This is a classic sign of severe anorexia nervosa.