— 心理社會完整性 · EASY · MCQ —
一位罹患思覺失調症的個案呈現社交退縮且避免眼神接觸，護理師應採取何種措施最為適當？
A client with schizophrenia is exhibiting signs of social withdrawal and avoids eye contact. Which intervention is most appropriate for the nurse to initiate?
- AAsk the client why they are avoiding eye contact詢問個案為何避免眼神接觸
- BSit with the client in silence✓ 正解靜靜陪伴個案
- CEncourage the client to join a group activity immediately鼓勵個案立即參加團體活動
- DAssign the client to a private room for safety將個案安置於單人房以確保安全
— Explanation · 中文詳解 —
對於退縮的思覺失調症個案，強迫互動會增加焦慮感。提供「臨在感（Presence）」而不給予壓力，能建立初步的信任關係。安靜地陪伴能讓病人感受到被接納與安全，為後續治療建立基礎。B 太過激進，A 會讓病人感到被質問，D 則會加深隔離感，皆非首選。
Sitting silently with the client provides therapeutic presence and conveys acceptance without demanding interaction, which helps reduce anxiety in socially withdrawn patients. This approach builds trust gradually, whereas forcing conversation or immediate group participation may increase distress.
✦ 台美臨床差異
美方護理強調治療性溝通技巧（Therapeutic Use of Self），台灣臨床常因病患人數多而較難執行長時間的靜默陪伴。