— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人表現出社交退縮與情感平淡。護理師最恰當的行動為何？
A client with schizophrenia is exhibiting signs of social withdrawal and flat affect. Which nursing action is most appropriate?
- AAssign the client to lead a group therapy session指派病人帶領團體治療課程
- BEncourage the client to socialize with all ward members鼓勵病人與病房所有成員社交
- CSit quietly with the client for short, frequent periods✓ 正解短暫且頻繁地安靜陪伴病人
- DAsk the client why they are choosing to be alone詢問病人為何選擇獨處
— Explanation · 中文詳解 —
思覺失調症病人表現出的社交退縮與情感平淡（Flat affect）屬於負性症狀。護理師的目標是建立信任關係，而非強迫病人立即融入群體。採取「坐在病人身邊但不必強迫交談」的策略，能提供安全感，讓病人感受到護理師的接納，降低其防衛心。這種頻繁且短暫的互動（Short, frequent periods）能有效建立護病之間的橋樑，是治療退縮行為的經典護理手法。
For a client with schizophrenia exhibiting social withdrawal and flat affect, the most appropriate nursing action is to sit quietly with the client for short, frequent periods to build trust without demanding interaction. This non-threatening presence helps reduce defensiveness and establishes a therapeutic relationship, whereas forcing socialization or asking 'why' questions can increase anxiety and isolation.