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心理社會完整性 · MEDIUM · MCQ

一位強迫症(OCD)病人每天花數小時洗手。此個案的護理目標為何?

A client with obsessive-compulsive disorder (OCD) spends several hours a day hand-washing. What is the goal of nursing care for this client?

  • AForcing the client to stop washing hands immediately
    強制客戶立即停止洗手
  • BIgnoring the behavior so the client stops
    忽略此行為以讓客戶停止
  • CGradually reducing the time spent on rituals✓ 正解
    逐漸減少儀式行為所花費的時間
  • DRestricting water access to prevent washing
    限制水源以阻止洗手
Explanation · 中文詳解

強迫症(OCD)的洗手行為是一種儀式性行為(ritual),旨在減輕內在焦慮。核心護理目標是透過「行為治療」中的「暴露與反應預防(Exposure and Response Prevention, ERP)」原則,協助病人逐漸減少儀式行為,而非強迫中斷,以免引發更強烈的焦慮或攻擊行為。護理師應建立結構化的時間表,目標是讓病人能掌控焦慮並將注意力轉向其他適應性活動。

The hand-washing behavior in OCD is a ritualized behavior aimed at reducing internal anxiety. The core nursing goal is to use the principles of exposure and response prevention (ERP) within behavioral therapy to help the client gradually reduce ritualistic behaviors, rather than forcibly interrupting them, which could trigger intense anxiety or aggressive behavior. The nurse should establish a structured schedule, with the goal of allowing the client to manage anxiety and redirect attention to other adaptive activities.

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