— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人表現出情感淡漠及社交退縮。下列哪項護理措施最能促進其心理社會適應？
A client with schizophrenia is exhibiting a flat affect and withdrawal from social interactions. Which nursing intervention is most appropriate to promote psychosocial adaptation?
- AAssign the client to a buddy system with another client將病人與其他病人配對實施夥伴制度
- BConfront the client about their lack of social involvement指責病人缺乏社交參與
- CEncourage the client to join a large group activity鼓勵病人參加大型團體活動
- DProvide frequent, short, and non-threatening interactions✓ 正解提供頻繁、短暫且無威脅性的互動
— Explanation · 中文詳解 —
思覺失調症（Schizophrenia）的負性症狀（Negative symptoms）如情感淡漠及社交退縮，代表病人處理社交刺激的能量極低。護理介入應以建立「治療性人際關係（Therapeutic relationship）」為核心，透過低壓力的環境促進適應。過高的社交刺激會導致病人焦慮並加劇退縮，因此需採取循序漸進的策略。
For a client with schizophrenia exhibiting negative symptoms like flat affect and withdrawal, the most appropriate intervention is to provide frequent, short, and non-threatening interactions. This low-pressure approach helps build trust and therapeutic rapport without overwhelming the client, whereas large groups or confrontation may increase anxiety and worsen social withdrawal.