Which of the following interventions would the nurse expect for a client with anorexia nervosa? 

Explanation

• Therapy groups that focus on techniques to help clients restructure maladaptive thought processes, challenge cognitive distortions, and develop distress tolerance skills are implemented in the treatment of eating disorders. Therapies utilized include cognitive behavioral therapy, rational emotive behavioral therapy, and dialectical behavioral therapy. 

• Meals are supervised for patients with anorexia nervosa due to their avoidance of eating.

• A high-calorie diet is prescribed after a period of gradually increasing "refeeding" to avoid refeeding syndrome, which can cause electrolyte disturbances after long periods of malnutrition. 

• Megestrol acetate (Megace) produces weight gain in patients with hormone-sensitive tumors and is used to stimulate appetite in patients with anorexia, not anorexia nervosa. In anorexia nervosa, patients feel hunger, but choose not to eat for psychological reasons that need to be addressed. 

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