護理師正在照護一位經歷聽幻覺的病人。病人說：「聲音在嘲笑我。」最恰當的護理介入措施是什麼？
A nurse is caring for a client experiencing auditory hallucinations. The client states, 'The voices are making fun of me.' Which nursing intervention is most appropriate?
- AEncourage the client to argue with the voices.鼓勵病人與聲音爭辯
- BTell the client the voices are not real.告訴病人聲音不是真實的
- CAssess the client's emotional response to the hallucinations.✓ 正解評估病人對幻覺的情緒反應
- DAdminister an as-needed (PRN) antipsychotic medication.給予按需（PRN）抗精神病藥物
幻聽（Auditory hallucinations）是精神疾病常見症狀。當病人聽到嘲笑的聲音時，重點在於評估其情緒反應（如羞恥、恐懼、悲傷），因為這些負面情緒可能導致病人自傷或傷害他人。護理師應承認病人聽到的聲音是真實的（對病人而言），但不需認同該內容的真實性，並引導病人談論其感受，以提供合適的心理支持。
Auditory hallucinations are a common symptom of psychiatric illness. When a client hears mocking voices, the focus is on assessing the client's emotional response (such as shame, fear, or sadness), because these negative emotions may lead the client to harm themselves or others. The nurse should acknowledge that the voices are real (to the client) without agreeing with the content, and guide the client to discuss their feelings in order to provide appropriate psychological support.