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: Preoccupation with food is a hallmark of anorexia nervosa. Clients often obsessively think about food, calories, and meal planning, even while restricting intake. This fixation reflects the psychological component of the disorder, where food dominates thoughts despite avoidance of eating. Choice B reason: Clients with anorexia nervosa typically do not believe they are too thin or express a desire to gain weight. Instead, they often have a distorted body image, perceiving themselves as overweight even when severely underweight. This statement contradicts the usual presentation and is not expected. Choice C reason: Severely restricted caloric intake is a defining feature of anorexia nervosa. Consuming around 600 calories per day is far below normal requirements and leads to malnutrition, weight loss, and systemic complications. This behavior is consistent with the disorder. Choice D reason: Brittle, thinning hair is a physical manifestation of malnutrition. Inadequate protein and nutrient intake weakens hair structure, leading to breakage and loss. This is a common physical sign in anorexia nervosa. Choice E reason: Fatigue and loss of interest in daily activities are expected due to malnutrition and psychological depression. The body lacks sufficient energy for normal functioning, and the client often withdraws socially and emotionally. Choice F reason: The presence of soft, unpigmented hair (lanugo) on the arms is a classic manifestation of anorexia nervosa. Lanugo develops as the body’s attempt to insulate itself due to loss of subcutaneous fat. This is a compensatory mechanism seen in severe cases.