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心理社會完整性 · HARD · MCQ

護理師正在評估一位患有創傷後壓力症候群(PTSD)的病人。對於正在經歷閃回(Flashback)的病人,哪項措施最合適?

A nurse is assessing a client with post-traumatic stress disorder (PTSD). Which intervention is most appropriate for a client who is having a flashback?

  • AEncourage the client to discuss the traumatic event in detail
    鼓勵病人詳細討論創傷事件
  • BLeave the client alone to provide privacy
    讓病人獨處以提供隱私
  • CUse a calm, reassuring voice to ground the client✓ 正解
    使用平靜、安撫的聲音幫助病人接地
  • DAdminister an anti-anxiety medication immediately
    立即給予抗焦慮藥物
Explanation · 中文詳解

閃回期間病人與現實脫節,護理師應提供「接地(Grounding)」技巧,如使用平靜堅定的語氣將其帶回現在。B 錯誤:可能導致病人恐慌或傷害自己;A 錯誤:過早回憶創傷會加劇閃回;D 雖可行但非首要,先嘗試非藥物溝通。

During a flashback, the client is disconnected from reality, and the nurse should provide grounding techniques, such as using a calm, firm tone of voice to bring the client back to the present. Option B is wrong because it may cause the client to panic or self-injure; Option A is wrong because premature recall of trauma can worsen the flashback; Option D is feasible but not the priority. Non-pharmacological communication should be attempted first.

✦ 台美臨床差異

美國護理師在心理衛生領域強調 Grounding 技巧的運用,台灣則較依賴藥物介入以快速降低症狀。

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