A nurse is discussing the treatment plan with a client who is being admitted for treatment of severe anorexia nervosa. Which of the following statements by the client indicates that communication was effective?

Choice A reason: This statement reflects continued disordered eating behavior and lack of insight into the structured nature of treatment for anorexia nervosa. Choice B reason: Allowing the client full control over food choices may reinforce restrictive patterns and undermine nutritional goals. Meal plans are typically structured by the care team. Choice C reason: Excessive exercise is contraindicated in anorexia treatment due to the risk of further weight loss and cardiac complications. Exercise is usually restricted. Choice D reason: This statement shows understanding of the therapeutic role of nutrition and willingness to engage in treatment. It reflects effective communication and insight.