— 心理社會完整性 · EASY · MCQ —
護理師正在會談一位診斷為廣泛性焦慮症的病人。病人的哪句陳述最能反映此疾病的本質？
A nurse is interviewing a client who has been diagnosed with generalized anxiety disorder. Which statement by the client best reflects the nature of this condition?
- AI feel the need to check the locks on my doors multiple times before I can leave.我在離開之前，需要多次檢查門鎖。
- BI constantly worry about many different aspects of my life regardless of what is happening.✓ 正解無論發生什麼事，我總是對生活的許多不同方面感到擔憂。
- CI feel anxious about specific things like spiders and snakes.我對蜘蛛和蛇等特定事物感到焦慮。
- DI have sudden episodes of intense fear that make me feel like I am dying.我會突然經歷強烈的恐懼發作，讓我覺得自己快要死了。
— Explanation · 中文詳解 —
廣泛性焦慮症（GAD）的特徵是針對多種生活事件（如學業、工作、健康、人際）存在持續且難以控制的過度憂慮。A 是特定恐懼症；C 是恐慌症；D 是強迫症表現。GAD 患者常伴隨肌肉緊繃、易疲勞與專注力下降，憂慮的廣泛性是診斷核心。
Generalized anxiety disorder is characterized by excessive, uncontrollable worry about various aspects of daily life occurring more days than not for at least six months. This pervasive anxiety distinguishes it from specific phobias or panic disorders which focus on discrete triggers or episodes.
✦ 台美臨床差異
美台對 GAD 的診斷標準皆遵循 DSM-5，但台灣門診壓力大，常被歸類為自律神經失調進行治療。