(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.

Choice A rationale:

This choice is inappropriate. In anorexia nervosa, encouraging the client to eat more may not address the underlying psychological and emotional issues related to the disorder. It oversimplifies the complexity of the disorder and could further exacerbate the client's anxiety about weight gain.

Choice B rationale:

This choice is inappropriate. Telling the client to stop restricting food intake oversimplifies the challenges of anorexia nervosa. Recovery involves addressing both the physical and psychological aspects of the disorder, and such a statement may not provide the necessary support and understanding.

Choice C rationale:

This choice is accurate. This statement acknowledges the client's fear of gaining weight while also emphasizing the importance of their health. It demonstrates empathy and understanding while promoting a balanced perspective on the client's concerns.

Choice D rationale:

This choice is inappropriate. Encouraging the client to exercise more as a way to increase appetite overlooks the fact that anorexia nervosa is not solely about appetite suppression. The disorder involves complex psychological factors that cannot be addressed through simple solutions like increased exercise.

Choice A rationale:

Significant weight loss or failure to achieve expected weight gain is consistent with the diagnosis of avoidant/restrictive food intake disorder (ARFID) ARFID is characterized by a lack of interest in eating or food, avoidance based on sensory characteristics of food, concern about the aversive consequences of eating, and avoidance of foods due to a previous negative experience. This avoidance can lead to inadequate nutrient intake and, consequently, significant weight loss or the inability to achieve expected weight gain, especially in children.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are not indicative of avoidant/restrictive food intake disorder (ARFID) This behavior is more characteristic of bulimia nervosa, which involves cycles of binge eating followed by behaviors like vomiting, laxative use, or excessive exercise to compensate for the overeating.

Choice C rationale:

Persistent eating of nonnutritive, nonfood substances is a characteristic of pica disorder, not avoidant/restrictive food intake disorder (ARFID) Pica involves the consumption of substances such as dirt, paint, hair, or cloth, which have no nutritional value.

Choice D rationale:

Repeated regurgitation of food is a characteristic of rumination disorder, not avoidant/restrictive food intake disorder (ARFID) Rumination disorder involves the regurgitation of food that is then either re-chewed, re-swallowed, or spit out, without an associated medical condition.