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心理社會完整性 · EASY · MCQ

一位阿茲海默症早期個案面臨記憶力障礙。護理師應採取哪種治療性溝通策略?

A client in the early stage of Alzheimer's disease is experiencing difficulty with memory. Which therapeutic communication strategy should the nurse use?

  • AUse short, simple sentences and one-step instructions✓ 正解
    使用簡短、簡單的句子和單一步驟的指示
  • BRemind the client repeatedly that they have memory loss
    不斷提醒病人他們有記憶障礙
  • CSpeak loudly to ensure the client understands
    大聲說話以確保病人理解
  • DProvide long, detailed explanations for every task
    為每個任務提供詳細的長篇解釋
Explanation · 中文詳解

阿茲海默症個案因認知功能退化,長句與多重指令容易導致混亂。使用短句、單一指令能減少處理資訊的負擔,提升配合度。提醒個案自身障礙(B)會造成挫折與自尊受損;詳細解釋(D)超出個案認知極限;大聲喧嘩(C)對記憶障礙無效且可能造成敵意。

Clients with Alzheimer's disease experience cognitive decline; long sentences and multi-step instructions cause confusion. Short sentences and one-step instructions reduce processing burden and improve cooperation. Reminding the client of memory loss (B) causes frustration and erodes self-esteem; detailed explanations (D) exceed cognitive capacity; speaking loudly (C) is ineffective for memory impairment and may be perceived as hostility.

✦ 台美臨床差異

無明顯差異,皆強調以個案為中心,透過環境與溝通調整來支持失智症個案的自我照顧能力。

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