— 心理社會完整性 · MEDIUM · MCQ —
一位精神分裂症病人呈現情感平淡且社交退縮。哪項護理措施最適當？
A client with schizophrenia is exhibiting a flattened affect and social withdrawal. Which nursing intervention is most appropriate?
- AAssign the client to a roommate who is very talkative將病人安排給一位非常健談的病友
- BAsk the client to explain their feelings of sadness請病人解釋他們的悲傷感受
- CEncourage the client to participate in a group therapy session鼓勵病人參與團體治療課程
- DSpend brief, frequent periods of time with the client✓ 正解與病人進行短暫但頻繁的相處
— Explanation · 中文詳解 —
針對社交退縮的病人，建立信任感是第一步。頻繁但簡短的接觸（Brief, frequent contact）可減少病人壓力，建立護病關係且不會過度侵擾。C 選項對於急性退縮者負擔過大；B 選項病人可能缺乏洞察力；A 選項可能會讓病人感覺更加被孤立。
For a client with social withdrawal, establishing trust is the first step. Brief, frequent contact reduces the client's stress, builds the nurse-client relationship, and avoids being overly intrusive. Option C places too much burden on an acutely withdrawn client; option B is problematic because the client may lack insight; option A may leave the client feeling even more isolated.
✦ 台美臨床差異
兩地均強調護病關係建立，美國護理師常應用團體衛教，台灣則較常使用結構化的個別陪伴方案。