A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Choice A reason: Feeling power from food restriction indicates anorexia nervosa, not bulimia, which involves bingeing and purging. This statement reflects control over intake, making it incorrect for bulimia. Choice B reason: Using laxatives only for constipation is not typical of bulimia, where laxatives are misused for purging. This statement lacks the binge-purge cycle, making it incorrect for bulimia. Choice C reason: Secretive bingeing and purging for years is a hallmark of bulimia nervosa, reflecting the shame and concealment common in the disorder. This makes it the correct statement for identification. Choice D reason: Feeling an emotional high during binge-purge episodes may occur but is less specific than secretive behavior. The secrecy in choice C is more definitive, making this incorrect.