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 unsafe and unrealistic. Rapid weight gain increases the risk of refeeding syndrome, electrolyte imbalance, and cardiac complications. The recommended goal is gradual weight gain of about 0.5 to 1 kg per week to ensure safety and sustainability. Choice B reason: Weighing the client once per week is insufficient. Clients with anorexia nervosa require daily weights to closely monitor progress and detect dangerous fluctuations. Weekly weighing could miss critical changes in nutritional status. Choice C reason: Monitoring the client for 1 hr after meals is correct because individuals with anorexia nervosa may attempt to purge or exercise excessively after eating. Close observation ensures food intake is retained and prevents compensatory behaviors, supporting nutritional rehabilitation. Choice D reason: Allowing the client to choose meal times is inappropriate because it reinforces disordered eating patterns. Structured meal times are necessary to normalize eating habits and reduce avoidance behaviors.