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心理社會完整性 · MEDIUM · MCQ

當個案處於中度焦慮時,護理師預期會觀察到哪些表現?

Which assessment findings are expected in a client experiencing moderate anxiety?

  • APanicking and loss of rational thought
    驚慌且喪失理性思考能力
  • BDifficulty concentrating and narrowed perceptual field✓ 正解
    難以集中注意力且知覺範圍縮小
  • CComplete inability to function
    完全無法運作
  • DAlertness and increased ability to learn
    警覺性提高且學習能力增強
Explanation · 中文詳解

焦慮(Anxiety)依嚴重程度可分為輕度、中度、重度與恐慌。中度焦慮時,個案的知覺範圍(perceptual field)會顯著縮小,僅能專注於當下的壓力源,對周遭細節的察覺力下降。此階段個案仍能透過引導進行溝通與學習,但專注力已受影響。護理師在評估時,應辨識此生理與心理轉變,並採取適當的治療性溝通技巧來穩定個案情緒。

Anxiety is classified by severity into mild, moderate, severe, and panic levels. In moderate anxiety, the perceptual field narrows significantly; the client can attend only to the immediate stressor, with reduced awareness of surrounding details. The client at this level can still communicate and learn when guided, but concentration is impaired. The nurse should recognize this physiologic and psychological shift on assessment and use appropriate therapeutic communication techniques to stabilize the client's emotions.

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