— 心理社會完整性 · HARD · MCQ —
一位厭食症病人開始執行飲食計畫。下列哪項觀察顯示病人有進步？
A client with anorexia nervosa is beginning to participate in a meal plan. Which observation indicates progress?
- AThe client asks for a calorie count of every meal病人要求計算每餐的熱量
- BThe client sits with peers during meals without focusing on food✓ 正解病人在用餐時與同儕坐在一起，且不專注於食物
- CThe client exercises for 30 minutes after eating病人在進食後運動 30 分鐘
- DThe client cuts the food into very small pieces病人將食物切成非常小的塊
— Explanation · 中文詳解 —
厭食症治療的重點在於改善飲食行為與降低對食物的過度執著。當病人能與他人共同進食而不強迫關注卡路里，代表焦慮指數降低，社交與心理功能改善。其他選項如計算熱量、切碎食物或進食後運動，均為厭食症常見的防禦或強迫性行為。
Treatment of anorexia nervosa focuses on improving eating behavior and reducing excessive preoccupation with food. When the client can eat with others without being driven to focus on calories, anxiety has decreased and social and psychological functioning have improved. The other options, such as calorie counting, chopping food into tiny pieces, or exercising after meals, are typical defensive or compulsive behaviors seen in anorexia nervosa.
✦ 台美臨床差異
美國多採多專業團隊模式，包括營養師與心理師；台灣治療多依賴精神科醫療團隊，社區資源支持系統相對較弱。