— 心理社會完整性 · EASY · MCQ —
一位思覺失調症個案出現社交退縮與情感平淡。護理師應採取哪種治療性溝通技巧？
A client with schizophrenia is exhibiting signs of social withdrawal and flat affect. Which therapeutic communication strategy should the nurse use?
- AEncourage the client to join a large group activity immediately鼓勵病人立即參加大型團體活動
- BDirectly confront the client about their lack of social interaction直接對質病人缺乏社交互動的情況
- CUse brief, frequent, and non-demanding interactions✓ 正解使用簡短、頻繁且無要求的互動
- DIgnore the behavior until the client initiates conversation忽略該行為，直到病人主動發起對話
— Explanation · 中文詳解 —
思覺失調症（schizophrenia）個案常伴隨情感平淡與社交退縮，這是疾病的陰性症狀（negative symptoms）。護理目標是透過非威脅性的方式建立治療性聯盟（therapeutic alliance）。強迫性的社交互動會增加個案焦慮與防衛心，導致病情惡化；簡短且頻繁的互動則能漸進式地建立信任，讓個案感到安全。
Clients with schizophrenia commonly present with flat affect and social withdrawal, which are negative symptoms of the disease. The nursing goal is to build a therapeutic alliance through non-threatening interactions. Forcing social engagement increases the client's anxiety and defensiveness and can worsen the condition, whereas brief, frequent interactions gradually establish trust and help the client feel safe.