— 心理社會完整性 · HARD · MCQ —
一名強迫症個案入院。在護理初期，哪項行動對於管理其儀式化行為最有效？
A client with obsessive-compulsive disorder (OCD) is hospitalized. Which nursing action is most effective in managing the client's ritualistic behaviors during the initial phase of care?
- ASchedule activities to allow time for the rituals✓ 正解安排活動以容許儀式化行為的時間
- BProvide medication to eliminate the rituals給予藥物以消除儀式化行為
- CImmediately stop the rituals to break the cycle立即制止儀式化行為以打破循環
- DConfront the client about the absurdity of the rituals向病人指出儀式化行為的荒謬性
— Explanation · 中文詳解 —
在強迫症治療初期，不宜立即強制中斷儀式行為，因為這會導致個案極度焦慮與恐慌。有效的護理方式是允許個案進行部分儀式，並逐步設定結構化的時間表來限制其時間，透過建立信任關係後，再逐漸減少儀式化行為的強度。
In the initial phase of treating obsessive-compulsive disorder, forcing the client to stop rituals abruptly can cause severe anxiety and panic. Instead, scheduling activities that allow time for rituals helps structure the day and builds trust, facilitating a gradual reduction in compulsive behaviors as the therapeutic relationship develops.
✦ 台美臨床差異
美國護理模式更強調 CBT 技巧的融入，台灣則傾向由護理師觀察記錄並配合精神科醫師的藥物調整。