— 心理社會完整性 · MEDIUM · MCQ —
一位 25 歲患有厭食症的病人入院。在急性期，下列哪項護理目標為最高優先？
A 25-year-old client with anorexia nervosa is admitted to the unit. Which nursing goal is the highest priority during the acute phase?
- AEncourage the client to discuss feelings about food鼓勵病患討論對食物的感受。
- BExplore the underlying issues causing body image disturbance探討導致身體意象障礙的根本問題。
- CIncrease daily caloric intake by 500 kcal每日增加 500 kcal 的熱量攝取。
- DStabilize physiological status and electrolyte balance✓ 正解穩定生理狀態及電解質平衡。
— Explanation · 中文詳解 —
厭食症（Anorexia nervosa）急性期的首要任務是生理穩定（Physiological stability）。長期飢餓導致的電解質不平衡可能引發嚴重的心律不整（Arrhythmias）甚至猝死。在病人生命體徵未恢復穩定前，進行深度的心理諮商可能會因代謝壓力而誘發再餵食症候群（Refeeding syndrome），故需先處理生理危機。
During the acute phase of anorexia nervosa, the highest priority is stabilizing physiological status and correcting electrolyte imbalances to prevent life-threatening complications like arrhythmias. Psychological interventions and aggressive caloric increases are deferred until the patient is medically stable to avoid triggering refeeding syndrome.