— 心理社會完整性 · MEDIUM · MCQ —
一位被診斷為創傷後壓力症候群（PTSD）的病患，哪項護理介入最能幫助其應對創傷記憶？
A client is diagnosed with post-traumatic stress disorder (PTSD). Which nursing intervention best facilitates the client's ability to cope with traumatic memories?
- AUsing grounding techniques during flashbacks✓ 正解在閃回期間使用接地技術
- BReassuring the client that the trauma was not their fault向個案保證創傷不是他們的錯
- CEncouraging the client to avoid triggers鼓勵個案避免觸發因素
- DAdministering high-dose sedatives給予高劑量鎮靜劑
— Explanation · 中文詳解 —
PTSD 的護理核心在於協助病人重新連結現實，接地技術（Grounding techniques）能將思緒從創傷回憶拉回當下。避免接觸誘發因子長期來看反而會增加症狀。過度鎮靜會影響功能恢復。安撫並非治療主軸，專業技巧的操作更為關鍵。
The core nursing intervention for PTSD involves helping the client reconnect with reality, as grounding techniques anchor the mind in the present moment and reduce the intensity of flashbacks. While avoidance may seem protective, it reinforces the disorder long-term, making active coping strategies essential for recovery.
✦ 台美臨床差異
美台精神科照護中，接地技術皆為護理指導重點，但台灣臨床常更依賴藥物調控。