A nurse is caring for an adolescent client who has anorexia nervosa. The client asks the nurse, "Have I done any permanent damage to my body?" Which of the following responses should the nurse make?

Choice A reason: Referring the client to the provider dismisses the client’s immediate concern and does not foster therapeutic communication. While providers can give medical details, the nurse’s role is to explore feelings and provide support. This response blocks communication. Choice B reason: Telling the client not to worry minimizes their concern and invalidates their feelings. Clients with anorexia nervosa often have significant anxiety about their health and body image. This response is non-therapeutic and does not encourage further discussion. Choice C reason: Asking “Why” questions can make the client feel defensive and pressured to justify their feelings. Therapeutic communication avoids “Why” phrasing because it can hinder open dialogue. Choice D reason: Reflecting the client’s concern by restating it in a supportive way acknowledges their fear and invites them to elaborate. This therapeutic response validates the client’s feelings and opens the door for further discussion about their health and emotional state.