Which of the following are appropriate goals in working with a child or adolescent with a diagnosis of anorexia nervosa? Select all that apply
a. weight gain to within 5% of ideal body weight within 1 week's time frame
b. weight gain to within 10% of ideal body weight at a gain of 1-2 pounds per week
c. eat 100% of a 2,500-calorie diet each day
d. eat a balanced diet with sufficient calories to allow weight gain
B, D
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Correct When working with a child or adolescent with anorexia nervosa, appropriate goals include weight gain to within 10% of body weight at 1-2 pounds of weight gain per week.
The client should be encouraged to eat a balanced diet with sufficient calories to allow weight gain.
Incorrect Weight gain to within 5% of the ideal body weight within 1 week's time would require rapid weight to be gained too quickly. This rapid weight gain is medically unsafe and may lead to cardiac overload and death.
Weight gain should not be too rapid, such as that which would occur with eating 100% of a 2,500-calorie diet daily.
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