對於有肥胖史的個案，哪項護理策略最能促進健康？
Which of the following is the most effective nursing strategy to promote health in a client with a history of obesity?
- AProviding a rigid 800-calorie diet plan提供嚴格的 800 卡路里飲食計畫
- BTelling the client to exercise for 2 hours daily告訴病人每天運動 2 小時
- CHelping the client identify realistic, small goals✓ 正解協助病人設定現實且微小的目標
- DSuggesting intense bariatric surgical options建議強烈的減重手術選項
對於有肥胖史的個案，健康促進的關鍵在於個案動機與行為改變的持續性。設定「真實且可達成的小目標」（Realistic, small goals）能增加個案的自我效能與成就感，從而提升堅持度。若目標過於嚴苛（如極低熱量飲食或過度運動），極易導致個案放棄，甚至造成心理壓力與生理傷害。護理師應扮演支持者與引導者角色。
For a client with a history of obesity, the key to health promotion lies in client motivation and sustainability of behavior change. Setting realistic, small, achievable goals enhances self-efficacy and a sense of accomplishment, thereby improving adherence. Goals that are too strict (such as very-low-calorie diets or excessive exercise) frequently lead to abandonment and may cause psychological stress or physical injury. The nurse should function as a supporter and guide.