護理師照顧一位神經性厭食症病人，治療計畫的優先目標是什麼？
A nurse is caring for a client with anorexia nervosa. Which outcome is the priority for the treatment plan?
- ADevelop a list of triggers for binging發展一份暴食的觸發清單
- BEstablish a healthy weight gain pattern✓ 正解建立健康的體重增加模式
- CEncourage independent meal planning鼓勵獨立規劃餐點
- DIdentify the underlying cause of body image distortion識別身體形象扭曲的根本原因
神經性厭食症（Anorexia Nervosa）患者常面臨嚴重的營養不良，這會導致心臟肌肉萎縮、心律不整及電解質失衡，這些皆為危及生命的急性生理併發症。根據護理臨床優先順序（Priority），生理穩定（ABC原則：Airway, Breathing, Circulation）永遠優先於心理探索。建立健康的體重增加模式不僅是治療的第一步，更是維持個案生理安全的基礎。其他心理層面的介入，如釐清身體心像障礙或自主飲食規劃，必須在個案生理狀況穩定、意識清醒且營養狀態改善後才能有效進行。
Establishing a healthy weight gain pattern is the priority outcome because physiological stabilization and nutritional restoration are critical to preventing life-threatening complications like cardiac arrhythmias. While psychological interventions are important, they must follow the achievement of physical stability, adhering to the principle that physiological needs take precedence over psychosocial ones.