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生理適應 · EASY · MCQ

護理師觀察一位剛做完人工肛門(造口)的病人。哪項發現顯示病人開始適應造口護理?

A client with a new colostomy is observed by the nurse. Which finding indicates the client is beginning to adapt to the stoma care?

  • AThe client asks about the supplies needed for cleaning✓ 正解
    病人詢問清潔所需的用品
  • BThe client expects the nurse to do all the care
    病人期望護理師包辦所有照護
  • CThe client cries when the pouch is changed
    病人更換造口袋時哭泣
  • DThe client refuses to look at the stoma
    病人拒絕查看造口
Explanation · 中文詳解

人工肛門(造口,stoma)手術後,病人的身心會經歷一個適應過程。初期病人可能對造口感到羞恥、恐懼或排斥。護理師的目標是協助病人接受身體的改變,並學會自我照護。 核心概念:適應(adaptation)是從否認、憤怒、協商到接受的心理過程。在造口護理的學習中,病人從被動依賴到主動參與,是適應的重要里程碑。 臨床思路:觀察病人的行為與溝通,可以判斷其心理狀態與學習意願。當病人開始主動關心造口的護理細節,代表他已開始正視並嘗試掌控這個身體的改變。

After colostomy (stoma) surgery, the client goes through a psychological and physical adjustment process. Initially, the client may feel shame, fear, or rejection toward the stoma. The nurse's goal is to help the client accept the change in body image and learn self-care. Core concept: adaptation is a psychological progression from denial and anger through bargaining to acceptance. In learning stoma care, moving from passive dependence to active engagement is a key milestone of adaptation. Clinical reasoning: by observing the client's behavior and communication, the nurse can gauge their psychological state and readiness to learn. When the client begins to ask about the practical details of stoma care, it shows that they are confronting and trying to take control of the change in their body.

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