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心理社會完整性 · EASY · MCQ

護理師照護一位處於急性躁狂期的雙極性 I 型障礙病人。下列哪種食物對該病人最合適?

A nurse is caring for a client with Bipolar I Disorder who is in an acute manic phase. Which meal is most appropriate for this client?

  • ASteak with mashed potatoes and gravy
    牛排配馬鈴薯泥和肉汁
  • BSpaghetti and meatballs with a side salad
    義大利麵配肉丸和沙拉
  • CA turkey sandwich and an apple✓ 正解
    火雞三明治和蘋果
  • DA bowl of hot vegetable soup and crackers
    一碗熱蔬菜湯和餅乾
Explanation · 中文詳解

躁狂期病人因過度活躍且無法安靜坐下用餐,應提供「手指食物」(Finger Foods),讓他們可以邊走邊吃以維持熱量攝入。三明治與蘋果(C)方便抓取且不需餐具。湯品(D)或需要切割的牛排(A)以及繁雜的義大利麵(B)都不適合在此階段使用,因為病人缺乏足夠的專注力與耐心完成進食過程。

Clients in an acute manic phase are overactive and unable to sit still to eat, so 'finger foods' should be provided to allow them to eat while moving and maintain caloric intake. A sandwich and an apple (C) are easy to pick up and require no utensils. Soup (D), steak requiring cutting (A), or messy spaghetti (B) are unsuitable for this phase because the client lacks the focus and patience to complete the meal.

✦ 台美臨床差異

美國 NCLEX 非常強調「Finger Foods」這個關鍵概念;台灣護理實務也採用此原則,但有時會直接由家屬餵食以確保攝取。

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