— 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平淡情感。護理師為了建立信任感，哪項介入最合適？
A client with schizophrenia is exhibiting signs of social withdrawal and flat affect. Which nursing intervention is most appropriate for establishing trust?
- ASit with the client in silence if the client is not ready to talk✓ 正解如果病人還沒準備好說話，就陪他安靜地坐著
- BFrequently check on the client every 15 minutes每15分鐘頻繁探視病人
- CAsk the client why they feel so withdrawn詢問病人為什麼感到如此退縮
- DEncourage the client to join group therapy immediately鼓勵病人立即參加團體治療
— Explanation · 中文詳解 —
對於社交退縮的思覺失調症（Schizophrenia）病人，護理師應採取「非強制性、接納性」的陪伴方式。坐在病人身邊保持沉默（Silence）能讓病人感受到護理師的接納，且不給予過多社交壓力，這對於建立初步的信任關係非常有效。強迫病人參與團體活動或詢問原因，常會加重病人的焦慮感與防禦心。護理師應耐心等待病人準備好互動，再循序漸進地引導。
Sitting quietly with the client provides non-threatening, accepting presence, which helps establish trust without imposing social demands that may cause anxiety. This approach respects the client's need for space while demonstrating support. Asking 'why' or forcing immediate group participation can be perceived as intrusive or defensive, potentially increasing withdrawal rather than fostering engagement.