— 心理社會完整性 · EASY · MCQ —
一位思覺失調症病人表現出情感平淡與社交退縮，護理師應採取何種措施以促進社交互動？
A client with schizophrenia is exhibiting a flattened affect and social withdrawal. Which nursing intervention is most appropriate to promote social interaction?
- AAssign the client to a specific peer partner指派病人與特定同儕夥伴配對
- BEncourage the client to join a large group activity immediately鼓勵病人立即參加大型團體活動
- CConfront the client about their lack of social involvement直接指責病人缺乏社交參與
- DSpend brief, frequent periods of time with the client✓ 正解短暫且頻繁地陪伴病人
— Explanation · 中文詳解 —
對於有社交退縮的病人，過度社交刺激會增加其焦慮。護理師應以非威脅性的方式，採取簡短、頻繁的陪伴，建立信任感後再逐步增加社交強度。B 選項壓力過大，C 選項會造成病人的防禦心，A 選項則剝奪了病人的自主權與選擇感。
Spend brief, frequent periods of time with the client to build rapport without causing overwhelming anxiety or triggering defensive behaviors. Large group activities are too stimulating, confrontation increases defensiveness, and assigned peer partnerships may cause discomfort compared to voluntary interaction.
✦ 台美臨床差異
美國心理衛生護理強調個案自主性；台灣臨床環境中，護理師對住院精神病患的互動介入常受限於人力與病室環境。