— 心理社會完整性 · HARD · MCQ —
護理師照護一位罹患神經性厭食症的青少年。在初始復食階段哪項介入最重要？
A nurse is caring for an adolescent with anorexia nervosa. Which nursing intervention is most important during the initial refeeding phase?
- ADiscussing the importance of body image討論體像的重要性
- BEncouraging the client to select their own meal plan鼓勵病人自行選擇餐單
- CMonitoring for electrolyte imbalances and cardiac arrhythmias✓ 正解監測電解質失衡與心律不整
- DProviding intensive psychotherapy提供密集的心理治療
— Explanation · 中文詳解 —
厭食症復食階段，身體最脆弱的風險是「再餵食症候群」（Refeeding Syndrome），這會導致嚴重的電解質失衡（如磷、鎂、鉀降低）與心律不整。醫療穩定是護理的首要任務，心理諮商應在病人營養狀況改善後進行。
During the refeeding phase of anorexia nervosa, the most fragile risk is "refeeding syndrome," which can produce severe electrolyte imbalances (such as decreased phosphorus, magnesium, and potassium) and cardiac arrhythmias. Medical stabilization is the nursing priority; psychotherapy should be initiated after the patient's nutritional status has improved.
✦ 台美臨床差異
無顯著差異，皆需遵循多專業團隊照護（MDT）原則。