— 心理社會完整性 · EASY · MCQ —
一位思覺失調症病人表現出社交退縮與情感平淡。護理師建立治療性關係最有效的措施為何？
A client with schizophrenia is exhibiting signs of social withdrawal and flat affect. Which nursing intervention is most effective in establishing a therapeutic relationship?
- AEncourage the client to join a group activity immediately鼓勵病人立即參加團體活動
- BUse touch to convey empathy and warmth使用觸摸來傳達同理心和溫暖
- CAsk the client to explain why they are feeling withdrawn詢問病人解釋為何感到退縮
- DSpend short, frequent periods of time with the client✓ 正解與病人進行短暫且頻繁的接觸
— Explanation · 中文詳解 —
對於退縮與情感平淡的思覺失調症病人，重點在於建立信任感。給予頻繁但時間短暫的陪伴，能提供安全感而不給予過多社交壓力。詢問原因常會引發病人的防禦心，而強迫參與團體活動則會造成焦慮，觸摸則可能侵犯病人的個人空間。
For a client with schizophrenia who exhibits withdrawal and flat affect, the focus is on building trust. Providing frequent but brief periods of company offers a sense of safety without imposing excessive social pressure. Asking why often provokes defensiveness, forcing the client to attend a group activity can increase anxiety, and using touch may be perceived as an invasion of personal space.
✦ 台美臨床差異
美台護理對精神病患皆重視個案建立信任，但台灣臨床環境常因護病比高，護理師更需利用給藥時間主動與病人進行短暫互動。