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心理社會完整性 · MEDIUM · SATA

一位護理師照護患有強迫症(OCD)的個案。下列哪些行為最能代表此病人的經驗?(選所有適合的)

A nurse is working with a client who has obsessive-compulsive disorder (OCD). Which behaviors are most characteristic of the client's experience? (Select all that apply.)

  • APerforming repetitive tasks to reduce anxiety✓ 正解
    執行重複性任務以降低焦慮
  • BRecognizing the rituals are irrational but unable to stop✓ 正解
    認知到這些儀式是 irrational 但無法停止
  • CExperiencing persistent, intrusive, unwanted thoughts✓ 正解
    經歷持續、侵入性且不想要的想法
  • DEnjoying the ritualistic activities for pleasure
    享受儀式性活動帶來的愉悅
  • EHaving a sudden onset of symptoms due to a traumatic event
    因創傷事件而突然出現症狀
Explanation · 中文詳解

強迫症(OCD)的核心定義包含「強迫思考」(Intrusive thoughts)與「強迫行為」(Rituals)。病人通常意識到這些行為是不合理且痛苦的(Ego-dystonic),但為了減緩強迫思考帶來的極度焦慮,被迫進行重複動作。選項 D 錯誤,因為儀式行為是為了舒緩焦慮,而非為了愉悅;選項 E 描述的是創傷後壓力症候群,非 OCD 特徵。

The core definition of obsessive-compulsive disorder (OCD) includes obsessions (intrusive thoughts) and compulsions (rituals). Clients typically recognize their behaviors as irrational and distressing (ego-dystonic), yet they feel compelled to perform repetitive actions to relieve the intense anxiety triggered by their obsessions. Option D is incorrect because rituals are performed to reduce anxiety, not for pleasure; option E describes post-traumatic stress disorder, not a feature of OCD.

✦ 台美臨床差異

美台醫療系統在 OCD 治療皆採取藥物(SSRIs)與認知行為治療(CBT/ERP)並行的黃金準則。

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