護理師正在照護一位有被害妄想的病人，病人說：「醫護人員想毒害我。」最治療性的回應是什麼？
A nurse is caring for a client experiencing delusions of persecution. The client states, 'The staff is trying to poison me.' What is the most therapeutic response?
- A 'Let's talk about something else.'「我們來談談別的事情吧。」
- B 'Tell me what makes you think we are trying to poison you.'✓ 正解「告訴我，是什麼讓你認為我們試圖毒害你？」
- C 'That's not true. We are here to help you.'「那不是真的。我們在這裡是要幫助你的。」
- D 'No one here is trying to poison you.'「這裡沒有人試圖毒害你。」
處理妄想時，護理師應避免直接挑戰或否定病人的妄想內容，因為這可能引起對抗或加劇焦慮。應以同理心接納病人所感受到的，並試圖理解其妄想背後的原因或焦慮。選項 B 鼓勵病人表達其想法，同時讓護理師能更深入了解病人的思維模式，而不直接否定。
When responding to a delusion, the nurse should avoid directly challenging or denying its content, since this may trigger confrontation or worsen anxiety. The nurse should accept the client's experience with empathy and try to understand the underlying causes or anxieties behind the delusion. Option B encourages the client to express thoughts while allowing the nurse to better understand the client's pattern of thinking, without directly negating the belief.
美台護理師在處理妄想時，都強調不直接否定，而是嘗試理解。美國可能更常使用探詢性問句來了解病人的內心世界。