護理師照護一位厭食症病患,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 this client? (Select all that apply.)
- AWeigh the client daily before breakfast with minimal clothing✓ 正解每日早餐前以最少衣物量測體重
- BAllow the client to choose their own meal times to build autonomy允許病人自行選擇用餐時間以建立自主性
- CMonitor the client for at least one hour after each meal✓ 正解每餐後監測病人至少一小時
- DFocus discussions on nutritional intake rather than feelings討論重點放在營養攝取而非感受
- ESet realistic weight gain goals of 1 to 2 pounds per week✓ 正解設定每週增重 1 至 2 磅的現實目標
厭食症護理的核心在於體重監測、預防催吐及行為矯正。每日晨間空腹量體重可獲取準確數據;餐後監測至少一小時可防止病人將食物吐出;每週增加 1-2 磅是健康且可控的目標。不可讓病人自行決定用餐時間,因為需透過結構化的攝食時間表進行行為治療;談話重心應導向情緒而非僅關注食物,以處理深層心理問題。
Appropriate interventions include weighing the client daily before breakfast with minimal clothing to ensure consistent data, monitoring for at least one hour after meals to prevent purging, and setting realistic weight gain goals of 1 to 2 pounds per week. Allowing the client to choose meal times or focusing discussions solely on nutritional intake is inappropriate, as structured routines and addressing underlying emotional issues are essential for recovery.
美國有專門的飲食失調住院單元;台灣多混入精神科病房照護,且對體重控制的強制性介入法規稍有不同。