— 心理社會完整性 · MEDIUM · MCQ —
護理師在晤談一位只要提到家庭議題就頻頻轉移話題的病人。這顯示了什麼？
A nurse is interviewing a client who keeps changing the subject whenever family issues are mentioned. What does this suggest?
- AThe client has a cognitive impairment病人有認知障礙
- BThe client has short-term memory loss病人有短期記憶喪失
- CThe subject likely evokes significant anxiety or emotional conflict✓ 正解該主題可能引發顯著的焦慮或情緒衝突
- DThe client is being deliberately uncooperative病人故意不配合
— Explanation · 中文詳解 —
在心理晤談中，迴避（Avoidance）是常見的防禦機制。病人頻繁轉移話題，通常意味著該議題觸及了其內心深處的焦慮或痛苦衝突，潛意識中為了避免心理重創而採取逃避。護理師應溫和指出此現象，而非指責其不合作。
In a psychological interview, avoidance is a common defense mechanism. When a client repeatedly changes the subject, it usually indicates that the topic touches deep-seated anxiety or painful conflict and that, at an unconscious level, the client is avoiding psychological injury. The nurse should gently point this out rather than label the client as uncooperative.
✦ 台美臨床差異
兩地心理衛生護理原則一致；美國護理師在精神科評估時常能給予更多時間處理此類防禦機制。