護理師照護一位厭食症個案，在初步穩定階段，哪項護理措施對其生理安全最為關鍵？
A nurse is caring for a client with anorexia nervosa. Which nursing action is most critical for the client's physiological safety during initial stabilization?
- ASupervising the client during and after meals✓ 正解在進食期間及進食後監督個案
- BEncouraging the client to journal their feelings鼓勵個案以日記記錄感受
- CTeaching the client about healthy nutritional values教導個案關於健康營養價值
- DDiscussing the client's body image dissatisfaction討論個案對身體意象的不滿
厭食症個案在急性期常有扭曲的進食行為，如隱藏食物、餐後催吐或過度運動，這些行為會導致嚴重的電解質失衡與代謝紊亂，甚至致命。因此，在初步穩定階段，確保營養攝取與防止不當排除行為是生理安全的第一優先。護理師必須在進食期間及餐後進行密切監督，以確保個案確實攝取熱量並防止催吐行為，這是維持個案生理存活的關鍵。
Clients with anorexia nervosa in the acute phase often exhibit disordered eating behaviors such as hiding food, induced vomiting after meals, or excessive exercise, all of which can cause severe electrolyte imbalance, metabolic derangement, and even death. Therefore, during initial stabilization, ensuring adequate nutritional intake and preventing inappropriate purging behaviors is the top priority for physiological safety. The nurse must closely supervise the client during and after meals to ensure that calories are actually consumed and to prevent purging, which is critical to maintaining the client's physiological survival.