— 心理社會完整性 · HARD · SATA —
護理師為厭食症病人規劃照護計畫，下列哪些介入措施是適當的？（選所有適合的）
A nurse is preparing a care plan for a client with anorexia nervosa. Which interventions are appropriate? (Select all that apply.)
- AWeigh the client daily at the same time after voiding✓ 正解每天排尿後同一時間稱量病人體重
- BAllow the client to choose meal times to foster autonomy讓病人自行選擇用餐時間以培養自主性
- CMonitor the client during and after meals to prevent purging✓ 正解在進食期間及進食後監測病人以預防催吐
- DSet a goal for a rapid weight gain of 5 lbs per week設定每週快速增重 5 磅的目標
- EFocus conversations on topics other than weight and food✓ 正解將對話焦點放在體重和食物以外的主題
— Explanation · 中文詳解 —
厭食症照護核心為體重監控、防止補償行為及心理重建。A正確：固定條件測量減少誤差；C正確：防止嘔吐等行為；E正確：減少過度關注體型的固著。B錯誤：病人需配合治療計畫而非自主選擇；D錯誤：過快增重有再餵食症候群風險，目標應漸進。
Daily weighing under consistent conditions ensures accurate monitoring of physical status, while observing the client during and after meals prevents purging behaviors. Shifting focus away from weight and food helps reduce the client's preoccupation with body image, whereas rapid weight gain poses a risk for refeeding syndrome.
✦ 台美臨床差異
再餵食症候群監測在美國急重症護理中受到高度重視；台灣部分單位對厭食症專科照護資源較集中於醫學中心。