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心理社會完整性 · MEDIUM · SATA

護理師為一位廣泛性焦慮症(GAD)的病人制定照護計畫,應包含哪些內容?(選所有適合的)

A nurse is developing a plan of care for a client with Generalized Anxiety Disorder (GAD). Which interventions should the nurse include? (Select all that apply.)

  • AEncourage the client to express feelings when anxiety is low✓ 正解
    鼓勵客戶在焦慮程度較低時表達感受
  • BMaintain a calm and quiet environment✓ 正解
    維持安靜平和的環境
  • CTeach deep breathing and progressive muscle relaxation✓ 正解
    教導深呼吸與漸進式肌肉放鬆技巧
  • DRequire the client to discuss the source of anxiety during peak panic
    要求客戶在恐慌高峰期討論焦慮來源
  • EProvide clear, concise information about the treatment plan✓ 正解
    提供關於治療計畫的清晰簡明資訊
Explanation · 中文詳解

GAD 的照護重點在於降低環境刺激、提供結構化支持以及引導病人發展因應技巧。在焦慮程度低時討論問題(A)最能促進認知處理,若在極度焦慮時強迫討論(D),只會加重病人的挫折感。保持環境安靜(B)能有效減少神經系統的過度喚起。學習呼吸技巧與肌肉放鬆(C)是標準的非藥物治療,能讓病人掌握對生理反應的控制權。提供簡單、明確的資訊(E)可以減少病人的不確定感與預期焦慮。SATA 題目的關鍵在於理解焦慮分級的護理:當病人處於重度焦慮或恐慌時,護理師應先給予簡單指令並轉移焦點,不可強求邏輯對話,等到焦慮緩解後,才能進行深度心理治療與壓力管理教育。

Care for Generalized Anxiety Disorder (GAD) focuses on reducing environmental stimulation, providing structured support, and helping the client develop coping skills. Discussing concerns when anxiety is low (A) best supports cognitive processing, whereas forcing such discussions during peak anxiety (D) only increases frustration. A calm and quiet environment (B) effectively reduces autonomic over-arousal. Teaching breathing techniques and muscle relaxation (C) is a standard non-pharmacologic treatment that gives the client a sense of control over physiological responses. Providing simple, clear information (E) reduces uncertainty and anticipatory anxiety. The key to a SATA question is understanding the nursing approach to graded levels of anxiety: when the client is experiencing severe anxiety or panic, the nurse should first give simple directives and redirect attention; logical conversation should not be forced. Only after anxiety eases can in-depth psychotherapeutic work and stress management education proceed.

✦ 台美臨床差異

美國護理實務強調病人對自身治療的『自主賦能』,護理師常擔任病患個案管理師角色;台灣臨床護理師常受限於行政事務,較難長期追蹤病患的非藥物技巧執行成效,多半由臨床心理師負責心理衛教。

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