Nursing interventions for the client with anorexia nervosa should focus on:
1. Quick weight gain and providing a comprehensive explanation of the problem.
2. Improvement in the client's eating behaviors and psychological and emotional health.
3. An emphasis on a strict eating program and daily exercise.
4. High-calorie, high-fat foods to promote weight gain.
2
Rationale: Weight gain of 1–2 pounds/week for outpatients and 3 pounds/week for inpatients is recommended. More rapid weight gain will result in increased fat stores rather than accumulation of lean body mass. The long-term goal of treatment should focus on improvement of eating behaviors and psychological and emotional health. Clients should be encouraged to eat a balanced diet of foods individualized to their preference and exercise only in moderate amounts to regain strength. Foods should be chosen for nutritional value rather than providing foods with empty calories.
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