— 心理社會完整性 · HARD · MCQ —
一位護理師照護有操弄行為的病人，採取哪種方式最有效？
A nurse is caring for a client who is exhibiting manipulative behavior. Which approach is most effective for the nurse to use?
- AGive in to small requests to maintain rapport滿足小請求以維持良好關係
- BExplain the reasons for rules each time the client complains當患者抱怨時，每次都解釋規則的原因
- CDiscuss the client's behavior with other staff members與其他工作人員討論患者的行為
- DSet consistent limits and communicate them clearly✓ 正解設定一致的限制並清楚溝通
— Explanation · 中文詳解 —
對於有操弄行為的病人，關鍵在於維持團隊間的一致性並明確設定界限。不一致的態度會被病人利用。解釋規則應簡明，不需反覆辯解；給予小讓步會強化其操控行為；討論行為是團隊溝通的一環，但不是介入行為本身的核心方法。
For a client with cirrhosis and hepatic encephalopathy, the nurse should instruct the client to limit protein intake as prescribed to reduce ammonia production. Increasing protein or sodium can worsen symptoms, and fluid restriction of 500 mL is generally excessive and not the primary focus for managing encephalopathy.
✦ 台美臨床差異
兩地醫療機構皆強調跨專業團隊會議，針對操弄行為維持一致性為護理管理的黃金準則。