— 心理社會完整性 · MEDIUM · MCQ —
護理師正在為一位患有社交焦慮症的病人制定照護計畫。病人表達害怕被他人評判，最恰當的護理診斷是什麼？
A nurse is developing a plan of care for a client with social anxiety disorder. The client expresses fear of judgment from others. Which nursing diagnosis is most appropriate?
- ADisturbed Body Image身體意象障礙
- BImpaired Social Interaction✓ 正解社交互動障礙
- CAnxiety焦慮
- DSocial Isolation社交孤立
— Explanation · 中文詳解 —
害怕被評判是社交焦慮的核心，這直接導致病人迴避社交場合，進而損害其社會互動能力。因此，「社交互動障礙」(Impaired Social Interaction) 是最貼切的診斷。雖然焦慮（C）是根本問題，但害怕被評判是導致互動困難的原因。
Fear of judgment is the core feature of social anxiety; it directly leads the patient to avoid social situations and impairs the ability to interact socially. Therefore, Impaired Social Interaction is the most fitting diagnosis. Although anxiety (C) is the underlying problem, fear of judgment is the cause of the interactional difficulty.
✦ 台美臨床差異
美台護理師在診斷社交焦慮時，都會想到社交互動的受損。美國在精神科護理診斷分類上，可能更精確地區分不同層次的社交功能問題。