一位思覺失調症病患出現聽幻覺症狀。護理師下列哪種回應最為恰當？
A client with schizophrenia is exhibiting signs of auditory hallucinations. Which response by the nurse is most appropriate?
- ATell me more about what the voices are saying to you.告訴我更多關於那些聲音對你說的話。
- BWhy do you think the voices are bothering you today?為什麼你今天覺得那些聲音在困擾你？
- CI know you hear voices, but there is no one else here.✓ 正解我知道你聽到聲音，但這裡沒有其他人。
- DThe voices are not real, you should try to ignore them.那些聲音不是真的，你應該試著忽略它們。
面對出現幻覺（Hallucinations）的思覺失調症病人，護理師應採取「呈現現實（Presenting reality）」的溝通技巧。護理師既不應否認病人的感覺（因為那是病人主觀經驗），也不應認同幻覺的存在（以免強化幻覺）。透過溫和且堅定地指出客觀環境中沒有其他人，能協助病人連結現實，減少對病人的干擾。
When dealing with a schizophrenic patient experiencing hallucinations, the nurse should use the communication technique of 'presenting reality.' The nurse should neither deny the patient's perceptions (because they are the patient's subjective experience) nor affirm the existence of the hallucinations (to avoid reinforcing them). By gently and firmly pointing out that no one else is present in the objective environment, the nurse can help the patient connect with reality and reduce interference from the hallucinations.