一位思覺失調症病人出現社交退縮及個人衛生自我照顧忽略。護理師應採取何種介入以提升其心理社會完整性？
A client with schizophrenia is exhibiting signs of social withdrawal and neglects personal hygiene. Which intervention should the nurse prioritize to foster psychosocial integrity?
- AEstablish a consistent, non-threatening daily routine✓ 正解建立穩定且無威脅性的每日常規
- BDelegate all hygiene tasks to the nursing assistant將所有清潔任務委託給護理助理
- CImmediately place the client in a group therapy session立即將病人安置於團體治療課程中
- DConfront the client regarding their lack of cleanliness就病人缺乏清潔的問題與之對峙
針對負性症狀（如退縮、自我照護缺損）的思覺失調病人，建立穩定且具預測性的常規能減輕其焦慮感。透過循序漸進的互動，能建立治療性關係。 confront 方式容易激起病人的防禦心與不信任；團體治療對處於急性期或嚴重退縮的病人壓力過大，應評估後再執行。
For clients with schizophrenia who exhibit negative symptoms (such as withdrawal and self-care deficits), establishing a stable, predictable routine helps reduce their anxiety. Through gradual interaction, a therapeutic relationship can be built. A confrontational approach easily provokes defensiveness and mistrust; group therapy may be too stressful for clients in the acute phase or with severe withdrawal and should be undertaken only after assessment.
美台護理模式在思覺失調照護均強調復健取向，台灣更重視家屬教育與社區銜接。