一位厭食症個案被診斷出來，下列哪項護理觀察最強烈顯示個案對治療計畫產生權力鬥爭？
A client is diagnosed with anorexia nervosa. Which nursing observation most strongly indicates that the client is experiencing a power struggle regarding their care plan?
- AExpressing dissatisfaction with the calorie count表達對熱量計算的不滿
- BHiding food in napkins during meals用餐時將食物藏在餐巾紙中
- CComparing their body image with other clients將自己的體態與其他病人比較
- DRefusing to weigh in at the scheduled time✓ 正解拒絕在預定時間稱重
權力鬥爭通常發生在個案試圖掌控治療過程時。拒絕在規定時間秤重，是直接挑戰護理常規，試圖爭取對治療流程的自主控制權。相比之下，隱藏食物或對熱量抱怨較傾向於厭食症本身行為的表現，而非直接針對治療制度的權力抗衡。
Refusing to weigh in at the scheduled time represents a direct challenge to hospital policy and indicates a power struggle over the care plan. This behavior reflects the client's attempt to assert control and autonomy in response to the restrictive nature of anorexia nervosa treatment. Other behaviors like hiding food or complaining about calories are symptoms of the disorder rather than deliberate attempts to control the therapeutic process.
美國針對厭食症有專門的飲食諮詢團隊；台灣護理師常需兼負營養監控，壓力較大。