A 15-year-old girl with anorexia has been admitted to a mental health unit. She refuses to eat. Which of the following statements is the best response from the nurse?

“You don’t have to eat. It’s your choice.” “I hope you’ll eat your food by mouth. Tube feedings and I.V. lines can be uncomfortable.”“Why do you think you’re fat? You’re underweight. Here — look in the mirror.”“You really look terrible at this weight. I hope you’ll eat.”

Explanation.

Clients with anorexia can refuse food to the point of cardiac damage. Tube feedings and I.V. infusions are ordered to prevent such damage. The nurse is informing her of her treatment options. Option A doesn’t tell the client about the consequences of choosing not to eat. Telling clients that they are too thin won’t change their self-image.