Question

which nutritional guidelines would the nurse emphasize for an adolescent who has anorexia nervosa? select all that apply. one, some, or all responses may be correct.

□ increase high-fiber foods.

□ eat just three meals a day.

□ increase food intake gradually.

□ limit mealtime to half an hour.

□ provide privileges for dietary goal achievement.

Explanation:

• Increase high - fiber foods: High - fiber foods can help with digestive health, which may be compromised in anorexia nervosa due to irregular eating patterns.
• Increase food intake gradually: Abruptly increasing food intake can cause physical discomfort (e.g., bloating, nausea) and may also be mentally overwhelming for the adolescent. Gradual increase is more tolerable.
• Provide privileges for dietary goal achievement: This is a form of positive reinforcement. It can motivate the adolescent to adhere to the nutritional plan.

• Eat just three meals a day: This is not appropriate. Adolescents with anorexia nervosa may find it difficult to consume a large amount of food in three meals. Small, frequent meals are often better.
• Limit mealtime to half an hour: This can add pressure. The focus should be on eating enough food rather than restricting the time spent eating.

Answer:

• Increase high - fiber foods.
• Increase food intake gradually.
• Provide privileges for dietary goal achievement.