一位患有強迫症的病人每天花費數小時洗手。護理師對此病人的初步護理目標為何？
A client with obsessive-compulsive disorder (OCD) spends several hours a day washing hands. Which is the most appropriate initial nursing goal for this client?
- AStop the handwashing behavior immediately立即停止洗手行為
- BIdentify the cause of the compulsion找出強迫行為的原因
- CIgnore the behavior to discourage it忽視該行為以減少其發生
- DLimit the handwashing time gradually✓ 正解逐步限制洗手時間
治療 OCD 的原則是「循序漸進」。立即中斷行為（A）會導致病人嚴重的焦慮失控。正確做法是接受其行為，但透過規範與逐漸減量（D），讓病人學會容忍焦慮。C 探究深層心理非急性期首務；D 忽視行為會造成病人感受被遺棄，且無法解決問題。
The principle of treating OCD is 'gradual progression.' Stopping the behavior immediately (A) leads to severe anxiety dyscontrol in the patient. The correct approach is to accept the behavior but, through structure and gradual reduction (D), help the patient learn to tolerate anxiety. C, exploring deep psychological causes, is not the priority in the acute phase; D, ignoring the behavior, makes the patient feel abandoned and does not solve the problem.
美國採取多專業團隊合作，護理師常參與認知行為治療（CBT）計畫，台灣則多以藥物治療合併門診追蹤為主。