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健康促進與維護 · EASY · MCQ

護理師指導一位 55 歲高血壓病人生活型態調整,病人下列哪句話顯示已理解 DASH 飲食原則?

A nurse is teaching a 55-year-old client about lifestyle modifications to reduce hypertension. Which statement by the client indicates an understanding of the DASH diet?

  • AI should completely eliminate all dairy products from my diet.
    我應該從飲食中完全排除所有乳製品。
  • BI need to consume at least 3,000 mg of sodium per day to maintain blood pressure.
    我每天需要攝取至少 3,000 毫克的鈉以維持血壓。
  • CI will increase my intake of fruits, vegetables, and whole grains.✓ 正解
    我會增加水果、蔬菜和全穀物的攝取量。
  • DI will focus on eating more red meats to increase my protein intake.
    我會專注於多吃紅肉以增加蛋白質攝取。
Explanation · 中文詳解

DASH 飲食(Dietary Approaches to Stop Hypertension)強調攝取高鉀、高鎂、高鈣及高纖維食物,即大量蔬果、全穀類、低脂乳製品與堅果,並限制飽和脂肪與鈉攝取。C 正確。A 錯誤:應選擇低脂乳製品而非完全排除。D 錯誤:應減少紅肉改攝取白肉與豆類。B 錯誤:鈉攝取應限制在 2,300 mg 以下。

The DASH diet (Dietary Approaches to Stop Hypertension) emphasizes intake of foods high in potassium, magnesium, calcium, and fiber, that is, abundant fruits and vegetables, whole grains, low-fat dairy, and nuts, while limiting saturated fat and sodium. C is correct. A is incorrect: low-fat dairy should be chosen rather than completely eliminated. D is incorrect: red meat should be limited and replaced with white meats and legumes. B is incorrect: sodium intake should be limited to below 2,300 mg per day.

✦ 台美臨床差異

美台對於 DASH 飲食衛教概念一致,台灣臨床常結合豆漿與深綠色蔬菜作為補充重點。

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