— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症個案出現社交退縮與情感平淡，護理師哪項行為展現了「治療性運用自我」？
A client with schizophrenia is exhibiting signs of social withdrawal and flat affect. Which nursing action demonstrates the therapeutic use of self?
- AProviding a strict schedule of social activities提供嚴格的社会活動時間表
- BEncouraging the client to talk about their delusions鼓勵病人談論其妄想
- CSitting with the client in silence for short periods✓ 正解短暫時間內與病人一起靜坐
- DTelling the client to be more positive about their day告訴病人對他們的一天要更積極正面
— Explanation · 中文詳解 —
對於思覺失調症（Schizophrenia）個案，治療性運用自我（Therapeutic use of self）的核心在於「接納」與「陪伴」。個案若出現社交退縮與情感平淡，強迫式的社交活動或言語刺激可能造成個案壓力。護理師透過靜默陪伴，傳達尊重與不帶批判的態度，能建立安全的治療性關係，為進一步的心理護理奠定基礎。
Therapeutic use of self for a withdrawn client involves offering nonjudgmental presence to build trust. Sitting in silence provides companionship without the pressure of forced interaction, which respects the client's current emotional state.