— 心理社會完整性 · EASY · MCQ —
一名思覺失調症病人表現出社交退縮及情緒平淡。護理師應優先採取何種治療性溝通策略？
A client with schizophrenia is exhibiting signs of social withdrawal and flat affect. Which therapeutic communication strategy should the nurse use first?
- AChallenge the client's irrational thoughts挑戰病人非理性的想法
- BAsk the client why they are feeling sad詢問病人為何感到悲傷
- CSit in silence with the client✓ 正解與病人一同靜坐
- DEncourage the client to join the group therapy鼓勵病人參加團體治療
— Explanation · 中文詳解 —
對於退縮或情感平淡的病人，建立信任關係是首要任務。護理師透過陪伴（Sitting with the client）傳達接納與關懷，無需強迫對話。B 詢問原因常讓病人感到壓力；C 強迫社交會增加焦慮；D 挑戰思考應在建立良好信任後再執行。
For a withdrawn client with flat affect, the first priority is to build a trusting relationship. By sitting with the client, the nurse conveys acceptance and care without forcing conversation. Option B (asking why) often makes the client feel pressured; option D (forcing socialization) increases anxiety; option A (challenging thinking) should be performed only after a strong trusting relationship has been established.
✦ 台美臨床差異
台美均重視治療性關係的建立，但台灣文化中面對沉默時，護理師常傾向主動提供關懷，而非單純靜默。