— 心理社會完整性 · MEDIUM · MCQ —
一位患有厭食症的病人住院中。哪項發現顯示病人正在進步？
A client with anorexia nervosa is hospitalized. Which finding indicates the client is making progress?
- AThe client avoids discussing thoughts about food病人避免討論關於食物的想法
- BThe client begins to express satisfaction with their body shape病人開始對其體型感到滿意
- CThe client spends more time exercising alone病人花更多時間獨自運動
- DThe client agrees to eat 75% of the provided meal✓ 正解病人同意吃下提供餐點的 75%
— Explanation · 中文詳解 —
厭食症治療的短期目標是恢復體重與攝取足夠營養。D 選項顯示病人願意配合營養需求，是生理康復的關鍵。B 選項對於病程早期較不切實際且可能自欺；C 選項增加運動會消耗卡路里，對病程不利；A 選項隱藏想法可能阻礙治療。
Agreeing to eat 75% of the provided meal indicates progress because meeting caloric needs is the priority for physical stabilization in anorexia nervosa treatment. While body image distortion may persist, accepting nutrition is essential for recovery, whereas increased exercise or hiding thoughts about food are counterproductive behaviors.
✦ 台美臨床差異
兩地對厭食症均採多專業照護，美國常有專門的進食障礙部門，台灣則多整合於一般精神科病房。