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一位患有強迫症的個案說：『如果我不洗手30次，我媽媽就會死。』當個案試圖延遲儀式行為時，焦慮會上升。完成治療性溝通陳述。

Drop-down Cloze

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The nurse should respond by ::선택::saying, ‘I can see the thought is causing intense anxiety; tell me what you fear will happen’saying, ‘That makes no sense, so stop washing now’promising that the client's mother cannot be harmedagreeing that another washing cycle will keep the mother safe, then ::선택::abruptly preventing every ritual outside the treatment planfollowing the collaborative graded response-prevention plan and coaching coping skillsperforming the first handwashing steps for the clientchanging the subject whenever the client reports anxiety, while avoiding ::선택::using a calm and neutral toneasking about the client's anxiety levelparticipating in the ritual or repeatedly supplying certaintyreinforcing progress with the agreed treatment step.

護理師應先::선택::說：『我可以看到這個想法引起強烈焦慮；告訴我你害怕會發生什麼事』說：『那完全不合理，所以現在停止洗手』保證個案的母親不會受到傷害同意再洗一次手可以讓母親安全，然後::선택::在治療計畫外突然阻止所有儀式行為遵循協作式分級反應預防計畫並指導因應技巧替個案執行最初的洗手步驟每當個案報告焦慮時就轉移話題，同時避免::선택::使用平靜且中性的語氣詢問個案的焦慮程度參與儀式行為或反覆提供確定性以約定的治療步驟強化進展。

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