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心理社會完整性 · HARD · SATA

護理師正在為一位患有社交焦慮症的病人制定照護計畫,應包含下列哪些內容以幫助病人管理社交情境?(選所有適合的)

A nurse is developing a plan of care for a client with social anxiety disorder. Which of the following should be included in the plan to help the client manage social situations? (Select all that apply.)

  • ATeach relaxation techniques to use before and during social events.✓ 正解
    教導在社交活動前後及期間使用放鬆技巧
  • BEncourage gradual exposure to feared social situations.✓ 正解
    鼓勵逐漸暴露於令人恐懼的社交情境
  • CHelp the client identify and challenge negative automatic thoughts about social interactions.✓ 正解
    協助個案識別並挑戰關於社交互動的負面自動化思考
  • DAdvise the client to avoid all social gatherings until their anxiety is completely gone.
    建議個案在焦慮完全消失前避免所有社交聚會
  • EInstruct the client to focus solely on others' reactions to them.
    指示個案僅專注於他人對自己的反應
Explanation · 中文詳解

放鬆技巧(A)、漸進式暴露(B)和挑戰負面思維(C)是處理社交焦慮的認知行為療法核心要素。A 幫助減緩生理反應;B 幫助逐步克服恐懼;C 處理導致焦慮的認知扭曲。D 句是迴避,E 句過度關注他人評價,都無益於改善。

Relaxation techniques (A), gradual exposure (B), and challenging negative thoughts (C) are core elements of cognitive behavioral therapy for social anxiety. A helps to reduce physiologic reactions; B helps to gradually overcome fear; and C addresses the cognitive distortions that produce anxiety. Option D is avoidance, and option E places excessive focus on others' evaluations — neither of these is helpful for improvement.

✦ 台美臨床差異

美台護理師在處理社交焦慮時,都強調認知行為療法。美國在實施暴露療法和認知重構方面,可能更強調結構化的治療過程和病人參與。

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