— 心理社會完整性 · EASY · MCQ —
一位思覺失調症患者出現「押韻聯想」(clang associations)。護理師最合適的應對方式為何？
A client with schizophrenia is exhibiting clang associations. Which nursing response is the most appropriate?
- AIgnore the speech patterns until the client stops talking忽略該言語模式，直到病人停止說話
- BState, 'I am having difficulty understanding what you are saying'✓ 正解表示：『我難以理解你在說什麼。』
- CAsk the client to explain the meaning of the words要求病人解釋這些詞語的意義
- DTell the client that their speech is confusing and inappropriate告訴病人他們的言語令人困惑且不恰當
— Explanation · 中文詳解 —
押韻聯想是思覺失調症常見的語意連結障礙。護理師應誠實告知無法理解其言語內容，這能減輕患者的挫折感，並建立以現實為基礎的溝通。要求解釋意義對患者而言過於困難；評論其不當會造成人際隔閡；忽視則無法建立治療性關係。
Clang associations are a common semantic disturbance in schizophrenia. The nurse should honestly tell the patient that the content of their speech is not understandable; doing so reduces the patient's frustration and establishes reality-based communication. Asking the patient to explain meaning is too difficult; commenting that the speech is inappropriate creates interpersonal distance; ignoring it prevents the development of a therapeutic relationship.
✦ 台美臨床差異
台美護理標準一致，重點均在於避免批判並建立治療性溝通，非糾正其思想內容。