A nurse on a mental health unit is reinforcing teaching with a client who has anorexia nervosa. Which of the following statements by the client indicates an understanding of the teaching?
Explanation & Rationale
A. "The staff will weigh me every night before I go to bed.": Weighing is typically done once daily in the morning after voiding and before breakfast, not at night, to maintain consistency and accuracy in monitoring progress. B. "I should gain half of a pound per week to meet my treatment goal.": Weight gain goals for adolescents with anorexia nervosa are usually 1–2 pounds per week, depending on severity and health status. Half a pound per week is too slow to achieve safe recovery. C. "The staff will watch me closely for 1 hour after each meal.": Observing clients after meals is standard practice to prevent purging behaviors such as vomiting or laxative use. This statement reflects correct understanding of post-meal supervision in inpatient eating disorder care. D. "The treatment goal is to be within 60 percent of my ideal body weight.": Treatment goals target achieving 90–100 percent of ideal body weight, not 60 percent, to restore healthy nutritional status and physiologic function.