The nurse is reviewing the plan of care for a 15-year-old patient diagnosed with anorexia nervosa. The treatment team plans to implement cognitive behavior therapy (CBT). Which is the best rationale for the use of CBT in patients diagnosed with anorexia nervosa?

Choice A reason: Promoting autonomy is important, but the phrase “control overeating behaviors” is not appropriate in anorexia nervosa, where the issue is typically restrictive eating. CBT focuses more on restructuring distorted thoughts and behaviors rather than reinforcing control over eating. Choice B reason: CBT helps patients recognize and challenge distorted thoughts and maladaptive behaviors, including those that serve as defense mechanisms. In anorexia nervosa, these patterns often protect against perceived loss of control or emotional distress. CBT targets these cognitive distortions and helps patients develop healthier coping strategies. Choice C reason: While patient involvement in goal setting is encouraged, this is not the primary rationale for CBT. Goal setting is a component of many therapeutic approaches and does not distinguish CBT’s unique focus on cognitive restructuring and behavioral modification. Choice D reason: CBT does not aim to eliminate emotions but rather to help patients understand and manage the emotional triggers that contribute to maladaptive eating behaviors. Emotional regulation is part of the process, but the goal is not elimination.