— 心理社會完整性 · HARD · MCQ —
一位患有飲食失調且頻繁過度運動的青少年，護理師在護理計畫中應包含哪些措施？
A nurse is caring for an adolescent client with an eating disorder who is frequently over-exercising. What should the nurse include in the plan of care?
- ARestrict all physical activity permanently永久限制所有身體活動
- BAllow exercise only if weight gain is achieved只有在體重增加後才允許運動
- CSupervise the client for 1 hour after meals✓ 正解餐後監督客戶1小時
- DEncourage the client to join a hospital exercise group鼓勵客戶加入醫院運動團體
— Explanation · 中文詳解 —
飲食失調症（如厭食症）個案常藉由過度運動來消耗熱量。為了防止餐後催吐或隱密運動，餐後監控非常重要。D選項在急性期不可行；A選項永久限制不符合人性且無法協助建立健康關係；B選項以運動作為獎勵容易強化「消耗熱量」的錯誤連結，應由醫療團隊評估運動權限。
Supervising the client for one hour after meals is essential to prevent compensatory behaviors such as purging or excessive exercise. This intervention helps break the cycle of disordered eating by ensuring the patient does not engage in activities aimed at burning off consumed calories.
✦ 台美臨床差異
美國針對飲食失調有專科多團隊照護；台灣通常收治於一般兒青或精神科病房，監測強度視個案危險性而定。