— 心理社會完整性 · MEDIUM · SATA —
護理師照護一位厭食症個案，下列哪些護理措施是適當的？（選所有適合的）
A nurse is caring for a client with anorexia nervosa. Which interventions are appropriate for the nurse to include in the plan of care? (Select all that apply.)
- AMonitor weight daily after the first voiding.✓ 正解首次排尿後每日監測體重
- BSupervise the client during and after meals.✓ 正解在進食期間及進食後監督個案
- CFocus conversations exclusively on the client's weight gain progress.對話僅聚焦於個案的體重增加進展
- DEstablish a contract with the client regarding eating goals.✓ 正解與個案建立關於進食目標的合約
- EProvide small, frequent meals as tolerated.✓ 正解提供個案可耐受的小份量、高頻率餐點
— Explanation · 中文詳解 —
厭食症照護核心為營養復原與安全監測。每日晨間排尿後量體重以求準確；監督進餐可防藏食或催吐；契約法可提升自主權與配合度；少量多餐減少胃部不適感。C 選項錯誤，應避免過度關注體重話題，應將重心轉移至健康行為。
Consistent daily weighing after voiding ensures accurate monitoring of nutritional status. Supervising meals prevents purging behaviors, while behavioral contracts empower the client to adhere to eating goals. Providing small, frequent meals improves physical tolerance, whereas focusing exclusively on weight may increase anxiety.
✦ 台美臨床差異
台灣厭食症治療常有營養師與心理師深度介入，護理師的角色在於執行臨床觀察與監測進食行為。