護理師照護一位 BMI 為 32 的客戶。哪項護理介入最為適當？
A nurse is caring for a client with a BMI of 32. What is the most appropriate initial nursing intervention?
- AAssess the client's readiness and barriers to lifestyle change✓ 正解評估病人改變生活型態的意願與障礙
- BRecommend immediate pharmacological weight loss therapy建議立即進行藥物減重治療
- CRefer the client for bariatric surgery immediately立即轉介病人接受減重手術
- DProvide a restrictive 800-calorie diet plan提供限制性 800 卡路里飲食計畫
對於 BMI 32 的肥胖客戶，護理介入的首要目標不是採取極端的減重手段，而是評估病人的「改變準備度」（Readiness to change）。減重是一個長期的行為改變過程，若缺乏動機或未排除生活障礙（如經濟、時間、心理因素），直接執行激進的飲食限制或手術，往往會失敗。護理師應運用動機式晤談（Motivational Interviewing），與病人共同制定可行目標。
For an obese client with a BMI of 32, the primary goal of nursing intervention is not to implement extreme weight-loss measures but to assess the client's readiness to change. Weight loss is a long-term behavior change process; without motivation or without removing life barriers (such as financial, time, or psychological factors), aggressive dietary restriction or surgery is likely to fail. The nurse should use motivational interviewing to work with the client to set achievable goals.