Which comment by an adolescent will cause the nurse the greatest concern regarding nutrition?

The statement regarding only eating small salads to control weight raises significant concern for a few reasons. Firstly, it suggests a restrictive eating pattern that may not provide adequate nutrition, which is crucial during adolescence—a period characterized by rapid growth and development. A diet limited largely to salads can be deficient in essential macros (proteins and fats) and micronutrients (vitamins and minerals) that adolescents need for physical and cognitive growth.

Additionally, this comment could indicate potential disordered eating behaviors or even an unhealthy obsession with body weight and control, which can lead to long-term health issues, including eating disorders. The focus solely on weight control at the expense of nutritional adequacy reflects an unhealthy relationship with food, which is particularly concerning in young individuals who may already be susceptible to body image issues.

In contrast, the other comments reflect more balanced nutritional behaviors. Eating snacks to maintain energy can be part of a healthy diet, provided the snacks are nutritious. Preferring organic foods may reflect personal values rather than a nutrition concern, and including fruit is beneficial for overall health. While each of these may have nuances, they do not evoke the same level of concern regarding immediate nutritional deficits or unhealthy eating patterns as the first statement does.