一位患有精神分裂症的個案出現聽幻覺，護理師以下哪項回應最適當？
A client with schizophrenia is exhibiting auditory hallucinations. Which response by the nurse is most appropriate?
- AAsk the client what the voices are saying to him詢問個案聲音在對他說些什麼
- BRedirect the client's focus to a reality-based activity✓ 正解將個案的注意力轉移至基於現實的活動
- CExplain that it is just a symptom of his illness解釋這只是他疾病的症狀
- DTell the client that the voices are not real告訴個案那些聲音不是真實的
思覺失調症（Schizophrenia）個案出現幻覺時，護理重點在於「現實導向（Reality-based）」。護理師應將個案注意力引導至現實環境的具體活動（如拼圖、聊天、散步），以中斷其與幻覺的連結。與個案爭辯幻覺的真實性通常無效且會破壞醫病信任，詢問幻覺內容雖可評估風險，但若過度聚焦，反而會強化幻覺存在感。
When a client with schizophrenia experiences hallucinations, the nursing focus is reality orientation. The nurse should redirect the client's attention to concrete, reality-based activities (such as a puzzle, conversation, or walking) to interrupt engagement with the hallucinations. Arguing with the client about the reality of the hallucinations is generally ineffective and erodes the therapeutic relationship; asking about the content of the hallucinations may help assess risk, but excessive focus may reinforce their perceived reality.