— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人表現出社交退縮與平淡情感。下列哪項護理措施最能促進其心理社會完整性?
A client with schizophrenia is exhibiting signs of social withdrawal and a flat affect. Which nursing action best promotes psychosocial integrity?
- ALimit contact to minimize stress on the client限制接觸以最小化病人的壓力
- BFrequently ask the client how they are feeling頻繁詢問病人的感受
- CEngage the client in a quiet activity with the nurse✓ 正解與護理師一起參與安靜的活動
- DEncourage the client to join a large group social event鼓勵病人參加大型團體社交活動
— Explanation · 中文詳解 —
思覺失調症(Schizophrenia)常見負性症狀(Negative symptoms)如社交退縮與平淡情感。護理核心在於提供「低刺激、非威脅性」的環境以重建社會連結。與其強迫病人進入高壓的團體情境,護理師應先建立一對一的治療性關係。透過共同參與低壓力的靜態活動,能讓病人在不需要過度口語互動的情況下,感受與人連結的安全感,進而提升心理社會完整性。
Engaging the client in a quiet, one-on-one activity provides a low-stress environment to practice social interaction without overwhelming them. This approach helps rebuild social connections and addresses negative symptoms like withdrawal and flat affect effectively.