A nurse is collecting data from a client who has anorexia nervosa. Which of the following client statements should the nurse expect?

A. Clients with anorexia nervosa commonly have distorted body image and perceive themselves as overweight even when they are underweight. Statements like “I feel fat” reflect this core psychological symptom, which drives restrictive eating, excessive exercise, and other compensatory behaviors. B. Although clients may physiologically feel hungry due to prolonged caloric restriction, they often deny or minimize hunger because of fear of gaining weight. Feeling constantly hungry is not typically verbalized as part of their self-perception. C. Hoping to gain weight during treatment is not characteristic of clients with anorexia nervosa at the time of admission. Most clients resist weight gain and may express fear, anxiety, or reluctance about nutritional rehabilitation. D. Clients with anorexia nervosa rarely report satisfaction with their appearance. Expressing positive body image is atypical and inconsistent with the diagnostic features of the disorder.