— 心理社會完整性 · MEDIUM · MCQ —
一位患有創傷後壓力症候群（PTSD）的個案迴避特定公共場所。哪項護理介入最能支持個案的心理社會復原？
A client with post-traumatic stress disorder (PTSD) avoids certain public areas. Which nursing intervention best supports the client's psychosocial recovery?
- AInsist the client takes medication to suppress memories堅持個案服用藥物以壓抑記憶
- BEncourage the client to use relaxation techniques✓ 正解鼓勵個案使用放鬆技巧
- CAvoid discussing the trauma to keep the client calm避免討論創傷以維持個案平靜
- DForce the client to visit the feared areas強迫個案前往恐懼的場所
— Explanation · 中文詳解 —
PTSD 的治療核心是建立自我調適能力。教導放鬆技巧能增強個案面對壓力源時的自我控制感。A 容易引發二度創傷，需循序漸進；C 迴避討論可能導致症狀慢性化，應在安全環境下處理；D 藥物無法取代心理調適機制，不能作為唯一解決手段。
PTSD care centers on building self-regulation. Teaching relaxation techniques empowers the client to manage stress reactions. A risks re-traumatization and must be gradual and supervised; C — avoiding discussion entirely may chronify symptoms; address it in a safe environment instead. D — medication alone cannot replace coping skills and should not be the sole solution.
✦ 台美臨床差異
美國護理師常參與認知行為治療（CBT）小組，台灣護理師則較多著重於藥物衛教與生活作息調整。