A client is admitted for a suspected eating disorder. Which of the following statements would indicate that the client may be suffering from anorexia nervosa（）
A. "I’ve gained 3 pounds in the last month. "
B. "I eat loads of spinach and yellow vegetables each day. "
C. "I’m a perfectionist, and I work hard to get A’s. "
D. "I binge frequently in the morning and feel fat. "
参考答案：C
解析：
Typically, the anorexic client works hard to achieve perfection and loses the ability to accept help. Option A refers to weight gain, which may indicate bulimia. Option B is atypical of anorexic clients, who have an intense fear of becoming obese and compulsively resist any attempts at eating. Binge eating (option D) is characteristic of bulimia (although bulimics tend to binge more frequently in the evening, and "feeling fat" is characteristic of anorexia).
