A nurse is teaching a group of clients who have anorexia nervosa about cognitive-behavioral therapy. Which of the following client statements indicates an understanding of the teaching?

Cognitive-behavioral therapy centers on the identification and restructuring of maladaptive or distorted thoughts and beliefs. In anorexia nervosa, clients commonly hold deeply distorted perceptions about their body size, weight, and the relationship between food and self-worth. Stating that one will identify distorted thoughts about body image directly reflects the cognitive restructuring component of CBT, demonstrating accurate understanding of the therapy's core mechanism. The statement about attending a unit activity after eating a meal describes operant conditioning through positive reinforcement, which is part of a behavioral token economy — a different therapeutic technique. Imagining a peaceful scene when anxious about food describes a relaxation or imagery technique associated with anxiety management, not a core CBT strategy. Considering the negative effects of the eating disorder reflects psychoeducation or motivational interviewing rather than cognitive restructuring. CBT for eating disorders specifically targets the distorted cognitions that maintain disordered eating behavior, such as all-or-nothing thinking, catastrophizing weight changes, and overvaluing thinness, making identification of these thought distortions the hallmark of the approach.