一位思覺失調症病人正經歷幻聽。下列哪項護理師的陳述最合適？
A client with schizophrenia is experiencing auditory hallucinations. Which statement by the nurse is appropriate?
- AI know the voices are real to you, but I do not hear them.✓ 正解我知道這些聲音對你來說很真實，但我聽不到。
- BWhy are you listening to those voices?你為什麼要聽那些聲音？
- CTry to ignore the voices and focus on my words.試著忽略那些聲音，專注在我的話上。
- DThe voices are only in your head, you should not be afraid.那些聲音只是在你腦中，你不應該害怕。
思覺失調症（Schizophrenia）病人經歷幻聽（Auditory hallucinations）時，護理師應採取「真實性陳述（Reality-based communication）」。重點在於承認病人的主觀經驗是真實的，同時堅持客觀事實（即護理師未聽到聲音），這有助於建立治療性溝通。絕對禁止同意或加入病人的幻覺內容，亦不應強行要求病人忽略，因為這會使病人感到被否定。
When a client with schizophrenia is experiencing auditory hallucinations, the nurse should use reality-based communication. The key is to acknowledge that the client's subjective experience is real to them while maintaining objective reality (the nurse does not hear the voices). This approach supports therapeutic communication. The nurse must never agree with or join in the content of the hallucination, and should not demand that the client simply ignore it, as this would make the client feel invalidated.