護理師照顧一位厭食症病患，下列哪些護理措施應納入照護計畫？（選所有適合的）
A nurse is caring for a client with anorexia nervosa. Which interventions should be included in the plan of care? (Select all that apply.)
- AMonitor the client during and after meals✓ 正解在進食期間及進食後監控病人
- BEstablish a weight gain goal of 3-5 pounds per week設定每週增重 3-5 磅的目標
- CEncourage the client to discuss feelings rather than food✓ 正解鼓勵病人討論感受而非食物
- DAllow the client to choose the menu items to increase control讓病人自行選擇菜單以增加控制感
- ELimit the time allotted for each meal✓ 正解限制每餐的用餐時間
厭食症病患需嚴密監控進食過程以防藏匿食物或催吐。目標體重應由醫療團隊設定，過快增加容易導致再攝食症候群。此外，應限制用餐時間以防拖延，並引導病患表達情緒需求，而非僅關注食物攝取，這有助於處理潛在的控制感缺失問題。
Clients with anorexia nervosa require close monitoring during and after meals to prevent purging behaviors and ensure adequate intake. Limiting mealtime duration helps prevent ritualistic eating patterns, while encouraging discussion of feelings addresses the underlying psychological issues rather than focusing solely on food. Weight gain goals should be gradual to avoid refeeding syndrome, and allowing unrestricted menu choices may reinforce maladaptive control behaviors.
兩地治療理念相似，但台灣在營養師與精神科團隊的協同介入上，有時因健保限制而較難達到高度整合。