護理師照護一位患有精神分裂症且有聽幻覺的病人，護理計畫中應包含哪些措施？（選所有適合的）
A nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations. Which interventions should the nurse include in the plan of care? (Select all that apply.)
- AAsk the client what the voices are saying✓ 正解詢問病人聲音在說什麼
- BTell the client that the voices are not real告訴病人這些聲音並非真實存在
- CEngage the client in structured reality-based activities✓ 正解讓病人參與結構化的現實導向活動
- DMaintain a low-stimulation environment✓ 正解維持低刺激的環境
- EMinimize the amount of time spent talking about the hallucinations✓ 正解減少談論幻覺的時間
處理思覺失調症聽幻覺的核心原則是「現實導向」與「降低刺激」：A. 評估幻覺內容可確認是否含命令性指令（command hallucinations）危及病人或他人安全；C. 結構化現實導向活動可轉移注意力，協助病人聚焦於現實；D. 低刺激環境減少感官超載，降低幻覺發作頻率；E. 減少談論幻覺內容可避免強化症狀。錯誤：B. 直接告訴病人「聲音不是真的」會引起爭辯與不信任，反而加劇激動。
The core principles for managing auditory hallucinations in schizophrenia are reality orientation and reducing stimulation: A. Assessing the content of the hallucinations identifies whether they involve command hallucinations that threaten the safety of the client or others; C. Structured reality-oriented activities redirect attention and help the client focus on reality; D. A low-stimulation environment reduces sensory overload and decreases the frequency of hallucinations; E. Minimizing discussion of the hallucinatory content avoids reinforcing the symptoms. Incorrect: B. Directly telling the client that the voices are not real provokes argument and mistrust and may increase agitation.