A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Choice A reason: Monitoring the client's bathroom trips is crucial in managing bulimia nervosa. Clients with bulimia often engage in purging behaviors, such as self-induced vomiting, after eating. By monitoring bathroom trips, the nurse can help prevent these behaviors and ensure the client is not engaging in harmful activities that can exacerbate their condition. Choice B reason: Allowing the client's family to bring food can be problematic. Family members may not understand the nutritional needs and restrictions necessary for the client's recovery. They might bring foods that trigger binge-purge cycles or do not align with the therapeutic meal plan established by healthcare professionals. Choice C reason: Allowing the client to create their own meal schedule is not advisable. Clients with bulimia nervosa often have distorted perceptions of food and eating. A structured meal plan created by healthcare professionals is essential to ensure balanced nutrition and to help the client develop healthier eating patterns Choice D reason: Encouraging the client to exercise frequently can be harmful. Clients with bulimia nervosa may already engage in excessive exercise as a compensatory behavior to control weight. Encouraging more exercise can reinforce unhealthy behaviors and potentially lead to physical harm.