護理師照顧一位患有身體畸形障礙（BDD）的病人，最重要的護理介入為何？
Which nursing intervention is most important for a patient with body dysmorphic disorder (BDD)?
- AAgreeing that their perceived flaw is noticeable to others同意他們認為的缺陷對他人來說很明顯
- BSuggesting cosmetic procedures to fix the perceived flaw建議進行美容手術以修正所認知的缺陷
- CEncouraging the patient to spend more time grooming鼓勵病人花更多時間整理儀容
- DRefocusing the patient on real-world interactions rather than appearance✓ 正解引導病人將注意力重新聚焦於現實世界的互動，而非外表
BDD 的核心在於對身體缺陷的過度焦慮。B協助轉移注意力至現實人際互動是標準行為療法目標。A會強化錯誤認知；C整形無法滿足該類病人的心理需求，反而會惡化症狀；D過度修飾（grooming）是強迫行為之一，應減少而非鼓勵。
The core feature of body dysmorphic disorder (BDD) is excessive anxiety about a perceived bodily defect. Refocusing the patient on real-world interactions and away from appearance is a standard behavioral therapy goal. Agreeing with the perceived flaw (A) reinforces distorted thinking; cosmetic procedures (B) do not address the underlying psychological issue and may worsen symptoms; encouraging excessive grooming (C) reinforces compulsive behaviors and should be reduced rather than encouraged.
台灣針對 BDd 病人常需跨科合作（精神科與整形外科），護理師在術前評估中扮演重要的心理關卡把關者。