護理師觀察到強迫症（OCD）病人反覆檢查門鎖。在照護初期，哪項處置最合適？
A nurse observes a client with obsessive-compulsive disorder (OCD) repeatedly checking the door lock. Which intervention is appropriate during the initial phase of care?
- AAllow time for the ritual while gradually limiting it.✓ 正解允許進行儀式行為，同時逐漸限制其頻率。
- BIncrease the dosage of anti-anxiety medication.增加抗焦慮藥物的劑量。
- CPoint out that the behavior is illogical.指出該行為不合邏輯。
- DImmediately stop the behavior to prevent anxiety escalation.立即制止該行為以防止焦慮惡化。
強迫症（Obsessive-Compulsive Disorder, OCD）病人透過執行儀式性行為（Ritualistic behavior）來緩解強迫思考（Obsession）所引發的焦慮。在照護初期，直接制止行為會導致病人焦慮急劇升高，甚至產生敵意或防衛行為，妨礙治療關係的建立。護理目標應是透過建立信任關係，在允許病人執行儀式的同時，逐步設定限制並延長執行間隔，最終達成減少強迫行為的目的。
In the initial phase of care for a client with obsessive-compulsive disorder, the nurse should allow the performance of rituals to establish trust and reduce anxiety. Directly stopping the behavior or confronting its illogical nature can cause severe distress and damage the therapeutic relationship. Once trust is established, the nurse can gradually help the client limit the duration and frequency of these rituals.