護理師正在照護一位有被害妄想的病人。病人說：「FBI 在監視我。」護理師應採取下列哪些行動？（選所有適合的）
A nurse is caring for a client experiencing delusions of persecution. The client states, 'The FBI is watching me.' Which of the following actions should the nurse take? (Select all that apply.)
- ATell the client, 'There is no FBI watching you.'告訴病人：『沒有 FBI 在監視你。』
- BAcknowledge the client's feelings of being watched.✓ 正解承認病人被監視的感覺。
- CExplore what makes the client feel watched.✓ 正解探討使病人感到被監視的原因。
- DReassure the client that the environment is safe.✓ 正解安慰病人環境是安全的。
- EEncourage the client to talk about their fears.✓ 正解鼓勵病人談論他們的恐懼。
被害妄想（Delusions of persecution）的病人常感到極度不安全與威脅。護理原則是「接納情緒，不認同妄想」。護理師應承認病人感覺被監視的感受（B），探索其背後的情緒原因（C），並明確告知病人目前的環境是安全的（D），鼓勵病人表達恐懼（E），以建立信任與安全感。直接反駁（A）會導致病人因感到威脅而拒絕溝通。
Clients with delusions of persecution often feel extremely unsafe and threatened. The nursing principle is to "acknowledge the emotion without endorsing the delusion." The nurse should acknowledge the client's feeling of being watched (B), explore the underlying emotion (C), clearly inform the client that the current environment is safe (D), and encourage expression of fear (E) to build trust and a sense of security. Direct confrontation (A) makes the client feel threatened and refuse to communicate.