— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位診斷為厭食症的青少年。下列哪項護理介入應列為優先？
A nurse is caring for an adolescent client diagnosed with anorexia nervosa. Which nursing intervention should be prioritized?
- ADiscuss the client's body image perceptions during therapy在治療期間討論患者的身體意象感知
- BEncourage the client to eat all meals in the cafeteria鼓勵患者在餐廳吃完所有餐點
- CAddress the underlying family dynamics and conflict處理潛在的家庭動力與衝突
- DFocus on weight gain goals and caloric intake monitoring✓ 正解專注於體重增加目標與熱量攝取監測
— Explanation · 中文詳解 —
厭食症（anorexia nervosa）病人的首要護理優先順序是「生理穩定（physiological stability）」。由於嚴重的營養不良可能導致心律不整、器官衰竭等致命後果，護理師必須專注於體重恢復與攝入量的監測。在生理狀況未改善前，心理層面的治療效果有限，因此體重目標與營養支持是治療初期的核心。
The primary nursing priority for a client with anorexia nervosa is restoring physiological stability, as severe malnutrition poses immediate life-threatening risks such as cardiac arrhythmias and organ failure. While psychological interventions are essential, they are secondary to ensuring adequate caloric intake and weight gain until the client is medically stable.