A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

"I feel a sense of power by restricting my food intake.”.

"I only use the laxatives when I am feeling constipated.”.

"I have binged and purged for years without my family or friends knowing.”.

"I feel an emotional high during my binge-purge episodes.”.