A client with an eating disorder says, “I don’t deserve to eat because I’m overweight

A client with an eating disorder says, “I don’t deserve to eat because I’m overweight.” What response by the nurse is appropriate?
A.
“You’re right, you shouldn’t be eating.”

B.
“Don’t worry, your weight is not a concern.”

C.
“It sounds like you have negative thoughts about your body.”

D.
“Eating is not important, we should focus on your medication.”

The most appropriate response by the nurse is:

C. “It sounds like you have negative thoughts about your body.”

Explanation: This response acknowledges the client’s feelings without reinforcing their distorted thoughts about their body and eating. It also opens up the conversation for the client to explore these thoughts and feelings, which is crucial in the therapeutic process when dealing with an eating disorder.

A. “You’re right, you shouldn’t be eating.” is inappropriate and could reinforce the client’s unhealthy thoughts.

B. “Don’t worry, your weight is not a concern.” dismisses the client’s feelings and does not address the underlying issue.

D. “Eating is not important, we should focus on your medication.” also dismisses the importance of addressing the client’s eating behavior and thoughts around food, which is central to the treatment of eating disorders.

Correct answer: C

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