When a patient with anorexia nervosa is admitted for treatment, the milieu should provide: (Select all that apply.)
a. flexible meal times.
b. unscheduled weight checks.
c. adherence to a selected menu.
d. monitoring during bathroom trips.
e. observation during and after meals.
f. privileges correlated with affective display.
C, D, E, F
Priority milieu interventions support restoration of weight and normalization of eating patterns. This requires close supervision of the patient's eating and prevention of exercise, purging, and so forth. Menus and mealtimes are precisely observed, not flexible. Observation is maintained during and after meals to prevent throwing away food or purging. All trips to the bathroom are monitored. Weighing is performed on a regular schedule. Privileges are correlated with weight gain and treatment plan adherence.
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