A nurse is caring for a client who is newly admitted for the treatment of anorexia nervosa. Which of the following actions should the nurse plan to take?

Choice A reason: Staying for 15 minutes post-meal is insufficient to prevent purging in anorexia nervosa, as clients may delay vomiting. Supervision for 30–60 minutes is standard to ensure nutritional retention, addressing the disorder’s characteristic behaviors driven by distorted body image and restrictive eating patterns. Choice B reason: A daily exercise program is contraindicated in acute anorexia nervosa, as excessive activity exacerbates malnutrition and cardiac strain. Rest is prioritized to conserve energy and support weight restoration, addressing the severe caloric deficit and metabolic complications associated with the disorder’s restrictive behaviors. Choice C reason: Discussing food during meals can increase anxiety in anorexia nervosa, as clients have intense food-related fears. Neutral conversation reduces distress, supporting nutritional intake. Food-focused talk reinforces obsessive thoughts, counteracting therapeutic goals to normalize eating behaviors and address psychological distortions. Choice D reason: Daily weighing in acute care monitors nutritional progress in anorexia nervosa, ensuring weight restoration and guiding treatment. Consistent weights assess response to refeeding, addressing severe malnutrition risks like cardiac arrhythmias. Standardized protocols (e.g., morning post-void) ensure accuracy, making this critical for medical stabilization.