— 心理社會完整性 · HARD · MCQ —
一名厭食症病人入院，下列哪項護理介入最優先？
A client with anorexia nervosa is admitted to the unit. Which nursing intervention is the highest priority?
- AEncourage the client to eat all meals provided鼓勵病人食用所提供的所有餐點
- BMonitor for cardiac dysrhythmias and electrolyte imbalances✓ 正解監測心律不整與電解質不平衡
- CImplement a contract regarding weight gain goals實施關於體重增加目標的契約
- DExplore the underlying issues related to body image探討與身體形象相關的潛在問題
— Explanation · 中文詳解 —
厭食症最嚴重的生理風險在於電解質不平衡與心律不整，這是威脅生命的急症。雖然體重控制與心理輔導對康復至關重要，但優先級應遵循 ABC原則（Airway, Breathing, Circulation），先確保生理穩定。
Electrolyte imbalances and cardiac dysrhythmias are the most severe physiological risks in anorexia nervosa and pose an immediate threat to life. Following the ABC (Airway, Breathing, Circulation) priority framework, ensuring physiological stability takes precedence over weight management or psychological interventions.
✦ 台美臨床差異
美國護理師常需參與多專業小組制定營養協議，台灣在精神科病房中，醫師對體重控制的介入較多。