How should a nurse respond to an adolescent client with anorexia nervosa who asks about possible permanent damage to their body?

The most effective response to the adolescent client with anorexia nervosa is to acknowledge their concerns and feelings, which fosters an open dialogue. By asking, “You're afraid you have caused physical injury to yourself?” the nurse validates the client's feelings, encouraging them to articulate their worries. This approach builds rapport and trust between the nurse and the client, which is essential in therapeutic communication, especially in mental health settings.

Addressing the client’s anxiety about potential permanent damage allows for a deeper exploration of their fears, facilitating a supportive environment where the nurse can provide education about the effects of anorexia nervosa on the body. This response also opens the door for further discussion and assessment of the client's understanding and emotional state regarding their condition, which is critical for effective treatment and care planning.

In contrast, expressing reassurance without addressing the client's concerns, focusing solely on weight, or deflecting to another professional may not adequately validate the client's feelings or promote necessary conversation regarding their health, hence missing the opportunity to engage in a meaningful therapeutic exchange.