A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?

Choice A reason: Encouraging a client to gain 2.3 kg (5 lb) per week is unrealistic and unsafe. Gradual weight gain of about 0.5 to 1 kg per week is recommended to avoid complications such as refeeding syndrome and to promote sustainable recovery. Choice B reason: Weighing the client once per week is insufficient. Clients with anorexia nervosa require close monitoring, typically daily weights, to assess progress and detect rapid changes. Weekly weighing could miss dangerous fluctuations. Choice C reason: Monitoring the client for 1 hr after meals is correct because clients with anorexia nervosa may attempt to purge or exercise excessively after eating. Post-meal monitoring ensures food intake is retained and helps prevent compensatory behaviors. This intervention supports nutritional rehabilitation and safety. Choice D reason: Allowing the client to choose meal times is inappropriate because it gives them control that may reinforce disordered eating patterns. Structured meal times are necessary to normalize eating habits and reduce avoidance behaviors.