What interventions are appropriate for a client admitted for anorexia nervosa?

The rationale for focusing on staying with the client during established meal times is rooted in the need to provide support and structure for individuals with anorexia nervosa, who often struggle with anxiety and fear surrounding food and eating. This intervention helps create a safe environment where the client feels monitored and supported, which can facilitate adherence to meal plans and reduce the likelihood of restrictive behaviors during meals. Additionally, the presence of a supportive caregiver can help the client process feelings related to eating and provide encouragement.

Maintaining an environment of structure during meal times is essential in managing anorexia nervosa, as it allows for the promotion of healthy eating habits and helps to normalize the meal experience. Regular supervision also ensures that clients are consuming the necessary nutrition, which is critical for their physical recovery.

Other interventions, while they might seem beneficial, have implications that could be counterproductive or require careful management. For instance, weighing daily could contribute to the client’s body image issues and anxiety surrounding weight, which are central challenges of anorexia nervosa. Allowing only limited exercise or bargaining for privileges can undermine the client’s treatment, leading to potential manipulation or negotiation that may not align with their recovery goals.