— 心理社會完整性 · EASY · MCQ —
一位 45 歲病人被診斷為廣泛性焦慮症（GAD）。護理師在評估時應優先關注下列哪項臨床表現？
A 45-year-old client is diagnosed with generalized anxiety disorder (GAD). Which clinical manifestation should the nurse prioritize for assessment?
- AFrequent episodes of irrational panic經常出現非理性的恐慌發作
- BChronic muscle tension and fatigue✓ 正解慢性肌肉緊繃與疲勞
- CFlashbacks related to past trauma與過去創傷相關的閃回
- DObsessive checking behaviors強迫性檢查行為
— Explanation · 中文詳解 —
廣泛性焦慮症（GAD）的核心特徵是長期的過度擔憂與緊張，常伴隨生理症狀如肌肉緊繃、易疲勞、睡眠障礙與難以專注。B 是恐慌症；C 是創傷後壓力症候群；D 是強迫症。辨別診斷對於擬定正確心理護理計畫至關重要。
The core feature of generalized anxiety disorder (GAD) is chronic excessive worry and tension, often accompanied by physiologic symptoms such as muscle tension, fatigue, sleep disturbances, and difficulty concentrating. Option A describes panic disorder; option C describes post-traumatic stress disorder; and option D describes obsessive-compulsive disorder. Differential diagnosis is essential for designing an appropriate psychiatric nursing care plan.
✦ 台美臨床差異
台灣臨床上常將此類症狀歸為自律神經失調，護理師需特別注意評估病人的身心症傾向。