護理師為厭食症個案進行入院評估，初期護理目標的優先順序為何？
A nurse is conducting an admission assessment on a client with anorexia nervosa. Which goal is the priority for the initial phase of nursing care?
- AExplore the psychological roots of body image distortion探索身體形象扭曲的心理根源
- BTeach the client about healthy exercise habits教導個案有關健康的運動習慣
- CEncourage the client to express feelings about family dynamics鼓勵個案表達對家庭動態的感受
- DRestore nutritional status and stabilize electrolytes✓ 正解恢復營養狀態並穩定電解質
對於厭食症個案，生命安全是護理的首要任務。由於嚴重營養不良常引發電解質不平衡、心律不整等致命危機，必須優先處理身體穩定（選項 D）。心理層面的探討與家庭議題（選項 A、C）屬於第二階段的治療目標，應在生理功能恢復正常範圍後再進行。
For clients with anorexia nervosa, life safety is the top nursing priority. Because severe malnutrition often leads to life-threatening crises such as electrolyte imbalances and cardiac dysrhythmias, physiological stabilization (option D) must be addressed first. Exploration of psychological issues and family dynamics (options A and C) are second-stage treatment goals and should be addressed once physiological functions have returned to normal ranges.
美國護理模式強調多專業團隊協作，營養師與精神科醫師與護理師共同監控，台灣醫療院所較少有完整的專屬厭食症照護團隊。