— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症個案出現聽幻覺症狀。護理師哪種回應最具治療性？
A client with schizophrenia is exhibiting signs of auditory hallucinations. Which response by the nurse is most therapeutic?
- AIgnore the hallucinations until the client stops talking about them忽略幻覺直到病人停止談論
- BAsk the client what the voices are saying✓ 正解詢問病人聲音在說什麼
- COffer the client a pair of headphones to listen to music提供耳機讓病人聽音樂
- DTell the client that the voices are not real告訴病人聲音不是真實的
— Explanation · 中文詳解 —
思覺失調症的聽幻覺（Auditory hallucinations）照護重點在於安全評估。詢問幻聽內容是為了偵測「命令式幻覺」（Command hallucinations），確認是否有傷人或自傷的危險信號。護理師應採取「現實導向」（Reality orientation），不應認同幻覺，也不應直接反駁或爭論，而是將焦點轉向現實感。
The focus of caring for auditory hallucinations in schizophrenia is safety assessment. Asking about the content of the hallucinations is intended to detect command hallucinations and to confirm whether there are warning signs of harm to others or to oneself. The nurse should adopt reality orientation, not validating the hallucinations and not directly refuting or arguing about them, but rather redirecting the focus to reality.