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心理社會完整性 · MEDIUM · SATA

一位老年入住輔助居住機構的個案表示感到孤獨與無價值感。下列哪些護理措施是適當的?(選所有適合的)

A nurse is caring for an older adult client who recently moved into an assisted living facility and expresses feelings of loneliness and worthlessness. Which nursing interventions are appropriate? (Select all that apply.)

  • AEncourage the client to join social activity groups✓ 正解
    鼓勵病人參加社交活動團體
  • BValidate the client's feelings of loss✓ 正解
    確認病人的失落感受
  • CTell the client that everything will get better soon
    告訴病人一切很快就會好轉
  • DInvolve the client in decision-making regarding their daily schedule✓ 正解
    讓病人參與其每日行程的決策
  • EAssess for suicidal ideation✓ 正解
    評估是否有自殺意念
Explanation · 中文詳解

老年人遷入輔助居住機構常面臨「移居壓力症候群(Relocation Stress Syndrome)」,表現為孤獨與喪失感。護理介入需聚焦於心理支持、賦權與安全評估。正確做法包括促進社交以對抗孤獨、透過「確認療法(Validation Therapy)」接納其情緒、藉由參與決策恢復控制感,並隨時警覺憂鬱引發的自殺風險。對於心理困擾,給予虛假安慰是無效的,應採取具體且具同理心的行動。

Interventions should address relocation stress by promoting social engagement, validating feelings, and restoring autonomy through decision-making. It is crucial to assess for suicidal ideation due to the high risk of depression in this population. Providing false reassurance is non-therapeutic and dismisses the client's emotional experience.

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