A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?

Rationale: A. Clients with anorexia nervosa often develop a preoccupation with food (collecting recipes, cooking for others, watching others eat) despite restricting their own intake. This is a classic behavioral indicator. B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition. C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa. D. Clients with anorexia do not recognize they are underweight; instead, they perceive themselves as “fat.” This statement shows insight into thinness, which is not typical of anorexia.