對於社交焦慮症病人,下列何者是適當的「短期目標」?
Which is an appropriate short-term goal for a client with social anxiety?
- APresent a public speech to the entire ward向整個病房進行公開演講
- BEngage in one conversation with the nurse for five minutes✓ 正解與護理師進行五分鐘的一次對話
- CAttend a large social gathering without any anxiety參加大型社交聚會且完全不感到焦慮
- DBecome completely confident in all social situations在所有社交場合中變得完全自信
護理目標設定需遵循 SMART 原則(具體、可測量、可達成、相關、有時限)。社交焦慮症(Social Anxiety Disorder)病人的治療核心是系統減敏感法(Systematic Desensitization)。短期目標應著重於小步驟的行為改變,以增加病人的自我效能感(Self-efficacy)。選項 B 透過限制互動對象與時間,將壓力源降至最低,是建立治療性關係與進階社交訓練的良好起點。過高的目標(如大型社交場合或公開演講)會引發過度焦慮而導致治療中斷;過於籠統的目標(如完全自信)則缺乏可測量性,不適合短期評估。
Nursing goals should follow the SMART principle (Specific, Measurable, Achievable, Relevant, Time-bound). The core treatment for Social Anxiety Disorder is systematic desensitization. Short-term goals should focus on small behavioral steps that build the client's self-efficacy. Option B limits both the interaction partner and the duration, minimizing the stressor, and is a good starting point for establishing a therapeutic relationship and for more advanced social skills training. Overly ambitious goals (such as a large social gathering or public speaking) provoke excessive anxiety and risk treatment dropout; goals that are too vague (such as becoming completely confident) lack measurability and are not suitable for short-term evaluation.