護理師照護一位厭食症病人。在病人用餐期間，應優先採取哪項護理措施？
A nurse is caring for a client with anorexia nervosa. Which nursing intervention should be prioritized during the client's mealtime?
- ADiscuss the nutritional content of the food to encourage eating討論食物的營養成分以鼓勵進食
- BObserve the client for at least one hour after the meal✓ 正解餐後觀察案主至少一小時
- CAllow the client to eat in private to reduce anxiety允許案主私下用餐以降低焦慮
- DPermit the client to weigh themselves before and after eating允許案主在進食前後自行稱重
厭食症病人在用餐後常有催吐或過度運動等行為以消除攝入的熱量。因此，餐後監控（通常為 1 小時）是防止補償性行為的關鍵。用餐時應營造低壓力的環境，不應過度討論熱量（A）以免增加焦慮。不應允許私下用餐（C）以防藏匿食物。量體重（D）應由醫護人員固定時間執行，不應讓病人自行頻繁測量。
Clients with anorexia nervosa often engage in purging or excessive exercise after meals to eliminate the calories consumed. Therefore, post-meal monitoring (typically for 1 hour) is the key to preventing compensatory behaviors. Mealtimes should be created as low-stress environments, and excessive discussion of calories (A) should be avoided to prevent increased anxiety. The client should not be allowed to eat in private (C) so that food cannot be hidden. Weighing (D) should be performed by staff at set times, and the client should not be allowed to weigh themselves frequently.
美國 NCLEX 考點常鎖定在防止 Purging（催吐）；台灣臨床則也強調體重增加的契約（Behavioral Contract）。