— 心理社會完整性 · EASY · MCQ —
一位精神科病房的個案表示：「我是總統，我有一個秘密任務。」護理師將此判定為下列何者？
A client in a psychiatric unit says, 'I am the president and I have a secret mission.' The nurse identifies this as which of the following?
- ADelusion of grandeur✓ 正解高尿液比重的尿液
- BSomatic delusion低尿液比重的尿液
- CThought broadcasting高血清鈉濃度
- DPersecutory delusion低血清滲透壓
— Explanation · 中文詳解 —
誇大妄想（Delusion of grandeur）的特徵是認為自己擁有超凡的能力、權力、身分或特殊任務。病人將總統身分與秘密任務結合，顯示其對自身重要性的錯誤認知。這是思覺失調症或躁期病人常見的認知障礙。
A delusion of grandeur is characterized by the belief that one possesses extraordinary abilities, power, identity, or a special mission. By combining the identity of 'the president' with a 'secret mission,' the client demonstrates a false sense of self-importance. This type of cognitive disturbance is commonly seen in clients with schizophrenia or in the manic phase of bipolar disorder.
✦ 台美臨床差異
此類臨床診斷術語在美台護理教育與臨床應用中完全通用。