— 心理社會完整性 · MEDIUM · MCQ —
一位精神分裂症病人表現出情感平淡與社交退縮。下列何者是改善其社交互動最有效的護理行為？
A client with schizophrenia is exhibiting a flattened affect and social withdrawal. Which nursing action is most effective to improve social interaction?
- ASpend short, frequent intervals with the client✓ 正解與病人進行短暫且頻繁的接觸
- BAssign the client to a buddy system with another client將病人納入同伴互助系統與其他病人配對
- CExplain that social interaction is necessary for discharge說明社交互動是出院的必要條件
- DRequire the client to participate in all group activities要求病人參與所有團體活動
— Explanation · 中文詳解 —
對於患有精神分裂症且出現情感平淡（Flattened affect）與社交退縮（Social withdrawal）的病人，過度的社交要求會產生極大的焦慮與壓力。護理目標應是建立治療性溝通（Therapeutic communication）與信任關係。採取短暫但頻繁的互動方式，能減少病人的心理負擔，讓其能在舒適的節奏下練習人際互動。
Short, frequent interactions help build trust and reduce anxiety for clients with schizophrenia who exhibit social withdrawal and flattened affect. Forcing participation or assigning peer buddies may overwhelm the client, while threats regarding discharge hinder the therapeutic relationship.