— 心理社會完整性 · HARD · MCQ —
護理師照護一位厭食症青少年，治療初期最重要的護理目標為何？
A nurse is caring for an adolescent diagnosed with anorexia nervosa. Which nursing goal is the priority during the initial phase of treatment?
- ARestore nutritional status and weight✓ 正解恢復營養狀態與體重
- BExplore the underlying family dynamics探討潛在的家庭動力學
- CImprove body image perception改善身體意象感知
- DIncrease social interaction skills增強社交互動技巧
— Explanation · 中文詳解 —
厭食症治療遵循層級需求（Maslow's Hierarchy）。在急性與初期階段，體液與電解質平衡以及營養狀態的恢復是生死攸關的，必須優先於心理分析。心理重建（家庭動力、身體心像）需在個案生理狀況穩定後才能有效介入。
Treatment of anorexia nervosa follows Maslow's hierarchy of needs. In the acute and early phase, restoration of fluid and electrolyte balance and nutritional status is life-saving and must take priority over psychological exploration. Psychological reconstruction (family dynamics, body image) can be effectively addressed only after the client's physiologic status is stabilized.
✦ 台美臨床差異
美國厭食症個案常採行多專科團隊模式（MDT），台灣則較依賴兒少精神科與營養師的會診，護理師在監控體重上的執行強度兩地一致。