A client who has been diagnosed with anorexia nervosa refuses to eat lunch.

(A) This response reinforces the client’s maladaptive behavior, thereby contributing to the client’s risk. (B) Ultimatums are not therapeutic. (C) This comment invites an argument because it puts the client on the defensive and stabs at her self-esteem, which is already compromised. (D) Setting limits assures the client that staff has genuine concern for her safety and well-being. Giving her an actual choice will give the client an increased sense of control over her life and avoid an argument or power struggle.