A nurse in a provider's office is assessing an adolescent.. Which of the following findings may indicate an eating disorder?

A. This is not indicative of an eating disorder. Many adolescents participate in exercise to improve fitness, maintain overall health, or engage in social sports. Healthy motivation toward physical activity is normal and expected in adolescence and should not be confused with pathological behaviors. B. This is a behavioral red flag for an eating disorder, such as anorexia nervosa or bulimia nervosa. Adolescents with restrictive eating patterns may avoid meals to control caloric intake, reduce social pressure, or hide unhealthy eating behaviors. Other associated signs can include secretive eating, fear of gaining weight, distorted body image, and preoccupation with food, dieting, or body shape. Early detection is critical, as untreated eating disorders can lead to nutritional deficiencies, growth delays, and serious physical or psychological complications. C. This is not a sign of disordered eating. Encouraging or affirming peers’ healthy body images is a positive social behavior and does not indicate pathology. In fact, it may reflect healthy awareness of body diversity and self-esteem. D. This is healthy and appropriate behavior. Educational workshops about nutrition, wellness, and fitness help adolescents make informed decisions and promote healthy habits. Participation in such programs does not suggest disordered eating unless it is accompanied by obsessive, restrictive, or extreme behaviors regarding food or body image.