— 心理社會完整性 · EASY · MCQ —
一位患有重度憂鬱症的個案不再參加團體活動。護理師應採取哪種處置最合適？
A nurse is caring for a client diagnosed with major depressive disorder who has stopped participating in group activities. Which action by the nurse is best?
- ASit with the client quietly for short, frequent periods throughout the day✓ 正解在一天中短時間、多次地安靜陪伴個案
- BEncourage the client to join the group to avoid isolation鼓勵個案加入團體以避免孤立
- CInform the client that group therapy is mandatory告知個案團體治療是強制性的
- DExplain the importance of socializing for recovery說明社交對復甦的重要性
— Explanation · 中文詳解 —
重度憂鬱症個案常因能量低下與缺乏動力而退縮。強迫參加活動會增加壓力，導致更嚴重的社會性退縮。護理師應透過『陪伴治療』，給予無條件的關注與支持，但不強求言語互動，這能讓個案感受到被接納，為未來參與團體活動奠定基礎。
Clients with major depression often withdraw due to low energy and lack of motivation, making forced participation counterproductive. The nurse should use therapeutic presence by sitting quietly with the client to build trust and demonstrate unconditional positive regard without demanding interaction.
✦ 台美臨床差異
台美在精神病房對活動的要求差異不大，皆強調病人自主權的尊重與漸進式參與。