— 心理社會完整性 · HARD · MCQ —
一位遭遇性侵害兩天的病人。下列哪項敘述顯示病人進入了強暴創傷症候群的「重組期」？
A nurse is caring for a client who experienced a sexual assault 2 days ago. Which statement indicates the client is moving into the reorganization phase of rape trauma syndrome?
- AThe client expresses a desire to move to a new apartment to feel safe✓ 正解病人表達希望搬遷到新公寓以感到安全
- BThe client is hyper-vigilant and unable to sleep病人處於過度警覺且無法入睡的狀態
- CThe client is experiencing frequent crying spells and panic attacks病人經歷頻繁的哭泣發作和恐慌發作
- DThe client refuses to talk about the event病人拒絕談論該事件
— Explanation · 中文詳解 —
強暴創傷症候群分為急性期（Impact stage）、重組期（Reorganization stage）與整合期。急性期表現為焦慮、哭泣、驚恐（C, B）；重組期時，病人開始思考如何改變生活以恢復安全感，例如搬家、更換工作或學習自我防衛，代表已開始積極處理創傷後的適應需求。
Desiring to move to a new apartment indicates the client is in the reorganization phase of rape trauma syndrome, characterized by efforts to restore safety and control. This contrasts with the acute phase, which involves symptoms like hyper-vigilance, crying, and panic.
✦ 台美臨床差異
美國有較多針對性侵害的專業支持團體，台灣則多透過社工與醫院精神科協同照護。