對於一位患有轉化症（Conversion disorder）並出現突然失明的病人，哪項干預措施是合適的？
Which of the following interventions is appropriate for a client with a conversion disorder experiencing sudden blindness?
- ARepeatedly tell the client that their eyes are physically normal.反覆告訴病人他們的眼睛生理結構正常
- BTeach the client how to use a white cane.教導病人如何使用白手杖
- CPerform all ADLs for the client to prevent injury.為病人執行所有日常生活活動（ADLs）以防止受傷
- DFocus on the client's feelings and stressors rather than the blindness.✓ 正解聚焦於病人的感受與壓力源，而非失明症狀
轉化症（Conversion disorder）是一種功能性神經症狀障礙，病人會出現類似神經系統疾病的症狀（如失明、癱瘓、失語等），但這些症狀無法用醫學檢查或生理機制來解釋，也非病人刻意偽裝。這些症狀通常被認為是潛意識中對心理壓力或衝突的身體表達。因此，護理師的干預重點應放在幫助病人理解並處理潛在的心理壓力源和情緒，而非過度關注或強化其身體症狀，以避免症狀固化或獲得次級獲益。
Conversion disorder involves physical symptoms that reflect underlying psychological stress rather than organic pathology. The most appropriate nursing intervention is to focus on the client's emotional state and stressors instead of reinforcing the physical symptom, thereby avoiding secondary gain and encouraging the processing of underlying conflicts.
轉化症的心理病理學理解和治療原則在美國和台灣是基本一致的。兩地都強調應將治療重點放在心理壓力源，而非身體症狀本身，以避免症狀固化。多專業團隊合作（精神科醫師、心理師、護理師）在處理這類病人時也同樣重要。