What intervention should a nurse recommend for a client who has bulimia nervosa?

Observing the client for one hour after meals is an important intervention for someone with bulimia nervosa. This practice helps to ensure that the individual does not engage in purging behaviors immediately following the meal. Clients with bulimia may feel compelled to purge after eating, using methods such as vomiting or using laxatives, in response to feelings of guilt or anxiety around food. By monitoring the client during this time, the nurse can help prevent these behaviors and support the client in developing healthier eating habits and coping mechanisms.

Furthermore, this approach can provide the healthcare team with critical insights into the client's behavior and emotional state after meals, allowing for more personalized and effective care strategies. It fosters a safe environment where the client can reflect on their feelings related to food and body image, ultimately fostering recovery.