— 心理社會完整性 · EASY · MCQ —
一位精神分裂症病人表現出情感平淡與社交退縮。在護病關係的初期階段，護理師應採取何種措施最為適當？
A client with schizophrenia is exhibiting a flattened affect and social withdrawal. Which nursing intervention is most appropriate for the initial stage of the nurse-client relationship?
- ASpend short, frequent periods with the client without requiring verbal interaction✓ 正解在不要求語言互動的情況下，頻繁且短暫地陪伴病患
- BEncourage the client to discuss the underlying causes of their trauma鼓勵病患討論其創傷的根本原因
- CConfront the client about their lack of eye contact指責病患缺乏眼神接觸
- DEngage the client in a group therapy session immediately立即讓病患參與團體治療課程
— Explanation · 中文詳解 —
在護病關係（Nurse-client relationship）的初始階段，對於思覺失調症（Schizophrenia）表現出社交退縮的病人，建立信任感是首要任務。過度強迫交談會增加病人的心理負擔，導致更嚴重的退縮。護理師應採用「非威脅性」的陪伴，即便不進行深入的對話，僅僅是坐在病人身邊，也能傳達護理師的接納與支持，這是建立治療性關係的基石。
In the initial stage of the nurse-client relationship with a socially withdrawn client, establishing trust through non-threatening presence is essential. Spending short, frequent periods with the client without demanding verbal interaction demonstrates acceptance and support, helping to reduce anxiety and build a therapeutic foundation without overwhelming the client.