— 心理社會完整性 · MEDIUM · MCQ —
護理師照護一位厭食症個案，下列哪項護理措施為優先？
A nurse is providing care for a client with anorexia nervosa. Which of the following is the priority nursing intervention?
- AMonitoring weight gain and electrolyte levels.✓ 正解監測體重增加與電解質水平
- BEncouraging group therapy participation.鼓勵參與團體治療
- CTeaching about healthy nutritional choices.教導關於健康的營養選擇
- DDiscussing the client's self-esteem and body image.討論病患的自我價值與身體意象
— Explanation · 中文詳解 —
厭食症最嚴重的風險是代謝失衡與心律不整，因此優先評估電解質平衡與體重監控，以防再餵食症候群（Refeeding syndrome）。D 與 C 選項是後續心理與營養諮商重點；B 選項為社教支持，急性期應先穩定生理安全。
The most serious risks of anorexia nervosa are metabolic imbalance and cardiac dysrhythmias; therefore, the priority is to assess electrolyte balance and monitor body weight to prevent refeeding syndrome. Options D and C address subsequent psychological counseling and nutritional teaching; option B involves social support. During the acute phase, physiologic safety must be stabilized first.
✦ 台美臨床差異
美國設有專門的進食障礙醫療中心；台灣個案多分布於身心科病房，護理重點偏向監測餐後催吐行為及體重增幅。