— 心理社會完整性 · MEDIUM · MCQ —
一位創傷後壓力症候群（PTSD）個案正經歷「閃回」（Flashback）。護理師優先採取的行動為何？
A client with post-traumatic stress disorder (PTSD) is experiencing a flashback. What is the nurse's priority action?
- AAdminister an antipsychotic medication給予抗精神病藥物
- BEncourage the client to close their eyes and relax鼓勵患者閉眼並放鬆
- CEnsure the client's physical safety in the environment✓ 正解確保患者在環境中的物理安全
- DAsk the client to describe what they are seeing詢問患者他們看到了什麼
— Explanation · 中文詳解 —
當患有 PTSD 的個案經歷「閃回（Flashback）」時，他們會脫離現實，將當下的環境誤認為創傷現場。此時個案可能因恐慌而採取攻擊或逃跑行為，因此「環境安全（Safety）」是護理師的最高優先級（Priority）。護理師應以冷靜且堅定的語氣將個案帶回現實，確保其不會因無意識的動作而受傷。絕對避免強迫個案描述細節，因為這會導致二次創傷（Retraumatization）。
During a PTSD flashback, the client loses touch with reality and may act out in fear, making environmental safety the highest priority. The nurse should calmly help ground the client without forcing them to describe the trauma, which could cause re-traumatization.