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心理社會完整性 · MEDIUM · MCQ

一位憂鬱症個案拒絕參加團體活動,護理師採取下列何種作為符合環境治療(Milieu therapy)的核心概念?

A client is diagnosed with major depressive disorder and refuses to participate in group activities. Which action by the nurse reflects the concept of milieu therapy?

  • AEncourage the client to attend a short, low-pressure activity✓ 正解
    鼓勵病人參加短暫、低壓力的活動
  • BAllow the client to stay in the room until they feel better
    允許病人待在房間直到感覺好些
  • CExplain that participating is a requirement for discharge
    說明參加活動是出院的必要條件
  • DRefer the client to a psychiatrist to change their medication
    轉介病人給精神科醫師調整藥物
Explanation · 中文詳解

環境治療強調利用環境資源促進個案參與互動以達到復健目標。鼓勵參加低壓活動可提供社交刺激並提升自我效能。完全隔離(B)會加重社會性退縮;威脅出院權利(C)損害護病關係;改變用藥(D)非環境治療範疇,應先嘗試非藥物性護理介入。

Milieu therapy involves using the environment to promote social interaction and rehabilitation. Encouraging participation in low-pressure activities provides necessary social stimulation and supports reintegration without causing distress. Isolation or coercion can worsen depressive symptoms or damage the therapeutic relationship, while medication changes fall outside the scope of environmental interventions.

✦ 台美臨床差異

美國急性精神病房非常重視結構化團體治療(Group Therapy),台灣因護病比高,環境治療多以病房常規形式呈現,互動性較受限。

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