— 心理社會完整性 · MEDIUM · SATA —
一位患有廣泛性焦慮症(GAD)的病人,下列哪些評估發現與此診斷一致?(選所有適合的)
A nurse is caring for a client with Generalized Anxiety Disorder (GAD). Which assessment findings are consistent with this diagnosis? (Select all that apply.)
- AExcessive worry about everyday life events✓ 正解對日常生活的過度擔憂
- BRestlessness or feeling keyed up✓ 正解躁動不安或感覺神經緊繃
- CFlashbacks of a traumatic event創傷事件的閃回畫面
- DDifficulty concentrating or mind going blank✓ 正解注意力難以集中或大腦一片空白
- ESleep disturbance✓ 正解睡眠障礙
— Explanation · 中文詳解 —
GAD 的核心特徵是針對多種生活事件的過度焦慮且難以控制。臨床評估常見包含身體與認知症狀:焦慮擔憂、坐立難安、易疲勞、注意力不集中、肌肉緊張、睡眠障礙。C 為創傷後壓力症候群(PTSD)的典型特徵,非 GAD 診斷依據。
Generalized Anxiety Disorder is characterized by excessive, uncontrollable worry about everyday events. Common assessment findings include restlessness, difficulty concentrating, muscle tension, and sleep disturbances. Flashbacks are specific to Post-Traumatic Stress Disorder (PTSD) and are not associated with GAD.
✦ 台美臨床差異
兩地對於 GAD 的診斷均依循 DSM-5 標準,但在台灣臨床常以「自律神經失調」作為向病人解釋此類症狀的統稱。