— 心理社會完整性 · MEDIUM · MCQ —
護理師為一位在術前指導期間出現中度焦慮跡象的病人護理，哪項介入最合適？
A nurse is caring for a client who is exhibiting signs of moderate anxiety during a preoperative education session. Which intervention is most appropriate?
- ATell the client that everything will be fine after the procedure.告訴病人術後一切都會沒事的
- BUse short, simple, and clear sentences.✓ 正解使用簡短、簡單且清晰的句子
- CAdminister an as-needed antianxiety medication immediately.立即給予按需使用的抗焦慮藥物
- DContinue the education session to distract the client.繼續衛教課程以分散病人注意力
— Explanation · 中文詳解 —
中度焦慮時，病人的知覺範圍縮小，學習能力下降。護理師應簡化資訊，將重點集中在當下最重要的手術前準備，使用簡短明瞭的句子協助病人理解。B 為虛假保證；C 應先嘗試非藥物措施；D 若繼續教育會因病人專注力下降而無效。
In moderate anxiety the perceptual field narrows and learning ability decreases. The nurse should simplify information, focusing on essential preoperative content using short, clear sentences. A is false reassurance; C — pharmacology is not first-line; D — continuing the session is ineffective because focus is impaired.
✦ 台美臨床差異
美國護理強調術前衛教標準化；台灣因醫療現場步調快，有時會省略評估焦慮程度，直接進行資訊灌輸，需注意護理成效。