一位強迫症（OCD）病人正在進行重複洗手行為。護理師最合適的初始介入為何？
A client with obsessive-compulsive disorder (OCD) is performing repetitive hand-washing. What is the most appropriate initial nursing intervention?
- AConfront the client about the irrational nature of the behavior.指責病人該行為的非理性本質
- BImmediately stop the behavior to prevent skin breakdown.立即制止該行為以防止皮膚破損
- CAllow the client to complete the ritual while focusing on other activities.✓ 正解允許病人完成儀式，同時引導其專注於其他活動
- DRestrict access to the sink for a specific period each day.每天限制病人使用洗手台的時段
對於強迫症病人，在焦慮階段強行中斷儀式行為會導致病人焦慮飆升。護理重點是允許其完成儀式，隨後逐漸限制時間並轉移注意力至其他治療活動。B 和 D 會引起對抗；C 忽視了強迫行為是緩解焦慮的機制，直接對質無助於病情改善。
For a client with obsessive-compulsive disorder, forcibly interrupting a ritual during the anxious phase will cause anxiety to spike. The nursing focus is to allow the client to complete the ritual, then gradually limit the time and redirect attention to other therapeutic activities. Options B and D will provoke confrontation; option A ignores the fact that the compulsive behavior is a mechanism for relieving anxiety, and direct confrontation does not help improve the condition.
無明顯差異，皆依循漸進式減敏感法（Exposure and Response Prevention）。