The nurse is assessing an adolescent who was brought to the emergency department after collapsing during Olympic figure skating training. The adolescent is diagnosed with severe malnutrition due to anorexia nervosa. Which patient statement supports the use of a family-based approach?

Choice A reason: This statement reflects denial and minimization of the problem. It does not indicate readiness for family involvement or acknowledgment of conflict related to eating behaviors. Choice B reason: This statement attributes the collapse to dehydration rather than malnutrition. It deflects from the core issue and does not suggest family dynamics are involved. Choice C reason: Expressing frustration with parental conflict over eating indicates that family dynamics are central to the disorder. Family-based therapy (FBT) is effective in adolescents because it addresses these dynamics and empowers parents to support nutritional rehabilitation. Choice D reason: This statement reflects perfectionism and performance pressure, which are common in anorexia nervosa. However, it does not directly support the rationale for a family-based approach.