— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人表現出情感平淡與社交退縮。護理師應採取何種措施鼓勵其參與社交？
A client with schizophrenia is exhibiting a flat affect and social withdrawal. Which nursing action is most appropriate to encourage social interaction?
- ADirectly question the client about why they avoid others直接詢問病人為何避免與人接觸
- BSpend short, frequent intervals with the client in a quiet setting✓ 正解在安靜的環境中，以短暫且頻繁的時間陪伴病人
- CInvite the client to join a large support group discussion邀請病人加入大型支持團體討論
- DAssign the client to lead an activity to build confidence指派病人帶領活動以建立自信
— Explanation · 中文詳解 —
對於社交退縮的病人，不應強迫參與大型活動（會增加壓力）。透過短暫、頻繁的非正式接觸（Non-demanding interaction）能逐漸建立信任感，這是護理師與精神疾病病人建立治療性關係的核心策略。
For a client who is socially withdrawn, forcing participation in a large activity should not be used (this would increase stress). Through brief, frequent, non-demanding informal contact, trust can be built gradually, which is the core strategy of the nurse-client therapeutic relationship in psychiatric care.
✦ 台美臨床差異
台灣慢性精神復健機構常見小組治療，美式護理則更強調個別化照護計畫的執行。