針對厭食症個案,下列哪些介入措施有助於在治療過程中培養自主權?(選所有適合的)
Which of the following interventions are appropriate for a client diagnosed with anorexia nervosa to foster a sense of autonomy during treatment? (Select all that apply.)
- AAllow the client to choose the seating arrangement in the dining room允許病人選擇餐廳內的座位安排
- BInvolve the client in setting specific, realistic weight goals✓ 正解讓病人參與設定具體且合理的體重目標
- CProvide choices for menu items within a prescribed nutritional plan✓ 正解在規定的營養計畫內提供菜單選擇
- DMonitor the client during and after all meals在所有用餐期間及用餐後監測病人
- EAllow the client to decide the time and frequency of daily exercise允許病人決定每日運動的時間和頻率
厭食症治療需在結構化環境與個案自主權之間取得平衡。B 與 C 能讓個案感到自己對治療計畫有部分控制力。A 是無關的細節,且進食區管理通常有規範。D 是必要的生理安全監測,雖然限制自主,但屬於核心醫療程序。E 則是錯誤的,因過度運動是疾病特徵,必須由醫療團隊嚴格限制。
Treatment of anorexia nervosa requires balancing a structured environment with the client's autonomy. Options B and C allow the client to feel partial control over the treatment plan. Option A is an irrelevant detail, as dining area arrangements are typically regulated. Option D is required for physiologic safety; although it restricts autonomy, it is a core medical procedure. Option E is incorrect because excessive exercise is a feature of the illness and must be strictly limited by the treatment team.
台美皆重視營養恢復,但美國醫療環境對「參與治療決策」的倡導更為積極。