— 心理社會完整性 · HARD · MCQ —
護理師觀察到一位患有厭食症的青少年客戶正進行激烈運動。護理師最初的處理方式為何？
A nurse observes an adolescent client with anorexia nervosa exercising vigorously. What is the nurse's best initial action?
- ANotify the psychiatrist to order sedatives通知精神科醫師開立鎮靜劑
- BObserve the client and approach to set consistent limits✓ 正解觀察個案並接近以設立一致的限制
- CDiscuss the physical dangers of excessive exercise討論過度運動的生理危險
- DRestrict the client to their room immediately立即限制個案在房間內
— Explanation · 中文詳解 —
對於患有厭食症（Anorexia nervosa）的病人，過度運動往往是一種強迫性行為，目的是消耗熱量以控制體重。護理師採取行動時，應展現「一致性（Consistency）」與「治療性限制」。直接懲罰（如關房）容易引發病人的對抗情緒。正確做法是觀察病人的行為，並與病人建立治療契約（Treatment contract），設立明確的運動規範，透過溝通教育病人的身體狀況與運動風險，循序漸進地修正其行為模式。
The nurse should observe the client and approach to set consistent limits, as excessive exercise in anorexia nervosa is often a compulsive behavior to control weight. Implementing consistent therapeutic boundaries is more effective than punitive measures or immediate sedation, which may increase resistance or address only symptoms rather than the underlying behavior.