— 心理社會完整性 · EASY · MCQ —
一位 45 歲個案被診斷為廣泛性焦慮症（GAD），護理師觀察到哪種情況反映其心理社會功能受損？
A 45-year-old client is diagnosed with generalized anxiety disorder (GAD). Which nursing observation confirms the client's psychosocial impairment?
- AThe client avoids social gatherings to prevent feeling anxious✓ 正解病人迴避社交聚會以避免感到焦慮
- BThe client expresses concern about family health病人表達對家人健康的擔憂
- CThe client reports occasional difficulty falling asleep病人報告偶爾難以入睡
- DThe client requests a second opinion on the diagnosis病人要求對診斷提出第二意見
— Explanation · 中文詳解 —
廣泛性焦慮症患者常因過度擔心而產生迴避行為，導致人際與社會功能受損。選項 A 顯示焦慮已經嚴重干擾到正常的社交與生活方式。B 是正常的擔憂，D 為尋求醫療協助，C 是輕微的症狀，皆不代表嚴重心理社會功能受損。
Patients with generalized anxiety disorder often develop avoidance behaviors due to excessive worry, which impairs social and occupational functioning. Avoiding social gatherings to prevent anxiety reflects significant psychosocial impairment. Expressing concern for family, seeking a second opinion, or occasional sleep difficulty are within normal ranges.
✦ 台美臨床差異
美國心理健康資源較多社區支持連結；台灣則多依賴精神科門診治療，社區心理衛生中心的角色正在強化中。