— 心理社會完整性 · MEDIUM · MCQ —
護理師正在照護一位被診斷為廣泛性焦慮症 (GAD) 的病人。病人正經歷過度擔憂，何種自我管理策略最有益？
A nurse is caring for a client diagnosed with generalized anxiety disorder (GAD). The client is experiencing excessive worry. Which self-management strategy is most beneficial?
- AScheduling a specific time each day to worry.✓ 正解每天安排特定時間來擔憂。
- BAvoiding all situations that might cause worry.避免所有可能引起擔憂的情況。
- CFocusing intensely on negative outcomes.全神貫注於負面結果。
- DWorrying about future events to prepare for them.為做準備而擔憂未來事件。
— Explanation · 中文詳解 —
「擔憂時段」(worry time) 是處理 GAD 的一種認知行為技巧。病人被教導將擔憂集中在每天特定的、有限的時間內，而非讓擔憂侵佔一整天。這樣有助於控制和限制擔憂的範圍。D、B、C 句都可能加劇焦慮。
"Worry time" is a cognitive-behavioral technique for managing GAD. The client is taught to confine worrying to a specific, limited period each day rather than allowing it to occupy the entire day. This helps to contain and limit the scope of worry. Options D, B, and C are all likely to exacerbate anxiety.
✦ 台美臨床差異
美台護理師在教導 GAD 病人時，皆會提及認知行為療法技巧。美國在推廣此類技巧的普及性可能更高。