護理師正在評估一位出現聽幻覺的病人，應問哪個問題來評估幻覺的內容？
A nurse is assessing a client who is experiencing auditory hallucinations. Which question should the nurse ask to assess the content of the hallucinations?
- AWhat do the voices sound like?那些聲音聽起來像什麼？
- BWhen did the voices start?那些聲音是從什麼時候開始出現的？
- CHow often do you hear the voices?你多久聽到一次那些聲音？
- DAre the voices telling you to do something harmful?✓ 正解那些聲音有沒有叫你去做會傷害你的事？
評估幻覺（hallucinations）內容時，護理師的首要考量是病人的安全（Safety）。聽幻覺可能包含「命令式幻覺」（command hallucinations），若幻覺內容指示病人傷害自己或他人，這屬於精神科急症，必須立即啟動安全防護措施。其他評估項目雖有助於了解病史，但優先級均低於評估危險性。
When assessing the content of hallucinations, the nurse's first priority is the client's safety. Auditory hallucinations may include command hallucinations, and if their content directs the client to harm self or others, this constitutes a psychiatric emergency requiring immediate safety precautions. The other assessment items contribute to understanding the history of the hallucinations, but all rank lower in priority than assessing dangerousness.