When providing nutrition therapy for a client who has a diagnosis of bulimia nervosa, which lunch would be best for an 18-year-old client?

A. 6 oz of chicken noodle soup, 6 saltine crackers with 2 tbsp of butter, 3/4 cup of ice cream, and 12 oz of diet soda
B. 3 oz of hamburger, lettuce leaf, tomato slice, 1 slice of onion, 1 oz of processed cheese, 1 hamburger bun, 6 oz of French fries, and one 8-oz strawberry milkshake
C. 6 chicken nuggets, 1/4 cup of ketchup, 4 oz cup of applesauce, and one 4-inch slice of pumpkin pie with whipped cream
D. 3 oz of grilled swordfish, 1/2 cup of steamed broccoli, 1/2 cup of rice pilaf, and 4 oz of hot tea

The best lunch option for an 18-year-old client being treated for bulimia nervosa would be option d: 3 oz of grilled swordfish, 1/2 cup of steamed broccoli, 1/2 cup of rice pilaf, and 4 oz of hot tea.

Grilled swordfish provides a lean source of protein, essential for muscle repair and overall health. It's important for individuals with bulimia to focus on nourishing their bodies with nutrient-dense foods.

Steamed broccoli offers vitamins, minerals, and fiber, aiding in digestion and promoting satiety without adding excessive calories or fat. Rice pilaf provides carbohydrates for energy, and the portion size helps maintain a balanced meal without overwhelming the client with large quantities of food.

Hot tea serves as a calming beverage option without added sugars or artificial sweeteners, which are best avoided in eating disorder recovery. So, the Option D is correct.