— 心理社會完整性 · HARD · SATA —
照顧厭食症病人時，護理師應優先執行哪項措施？（選所有適合的）
Which of the following actions should the nurse prioritize when caring for a client with anorexia nervosa? (Select all that apply.)
- AMonitor electrolyte levels, specifically potassium✓ 正解監測電解質水平，特別是鉀離子
- BAllow the client to choose their own meal times允許病人自行選擇用餐時間
- CObserve the client for at least 1 hour after meals✓ 正解飯後觀察病人至少 1 小時
- DImplement a strict contract for weight gain goals✓ 正解實施嚴格的體重增加目標契約
- EAssess for signs of cardiac dysrhythmias✓ 正解評估心臟心律不整的徵象
— Explanation · 中文詳解 —
厭食症病人常有電解質紊亂與心律不整風險。護理重心在於生理穩定與行為監控。需監測鉀離子以預防心律異常。飯後觀察可防止催吐，設定具體體重契約有助於行為矯正。選項 B 錯誤，結構化的飲食計畫對於改善厭食症行為控制至關重要。
Clients with anorexia nervosa often have electrolyte disturbances and are at risk for cardiac arrhythmias. Nursing care focuses on physiologic stabilization and behavioral monitoring. Potassium must be monitored to prevent arrhythmias. Post-meal observation prevents purging, and establishing a concrete weight contract assists behavioral correction. Option B is incorrect: a structured eating plan is critical for managing the behavior of anorexia nervosa.
✦ 台美臨床差異
美國多採行多專業跨領域團隊合作（如營養師、心理師）；台灣臨床對進食障礙的長期護理資源整合仍較分散。