— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位厭食症個案，在治療的初期階段，護理師應優先確保哪項預期結果？
A nurse is caring for a client with anorexia nervosa. Which outcome should the nurse prioritize during the initial phase of treatment?
- AThe client will identify three healthy coping mechanisms病人將指出三種健康的因應機制
- BThe client will demonstrate a weight gain of 1-2 pounds per week✓ 正解病人將展現每週增重 1-2 磅
- CThe client will discuss the underlying causes of her eating disorder病人將討論其飲食障礙的根本原因
- DThe client will express positive feelings about her body image病人將表達對其身體意象的正面感受
— Explanation · 中文詳解 —
厭食症治療的首要目標是生理穩定。由於長期的攝食不足可能導致電解質不平衡、心律不整等致命併發症，因此初期介入最關鍵的是透過營養補充來達成體重增加，恢復基本的生理機能。自我形象重建與心理因素探討屬於中長期的治療目標。
The primary goal in the treatment of anorexia nervosa is physiologic stabilization. Because prolonged inadequate intake can cause electrolyte imbalance, dysrhythmias, and other fatal complications, the most critical early intervention is nutritional replenishment to achieve weight gain and restore basic physiologic function. Rebuilding body image and exploring psychological factors are mid- to long-term treatment goals.
✦ 台美臨床差異
美國常有專屬進食障礙的住院單位（Eating Disorder Unit）；台灣則多在一般精神科病房照護，需護理師高度監控進食過程與體重變化。