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心理社會完整性 · MEDIUM · MCQ

一位思覺失調症病人出現被迫害妄想,拒絕進食並聲稱食物有毒。護理師何種回應最為適切?

A client with schizophrenia is exhibiting delusions of persecution and refuses to eat, claiming the food is poisoned. Which nursing response is most appropriate?

  • AState that there is no reason to believe the staff would poison food
    表示沒有理由相信護理人員會毒害食物
  • BSuggest that the client eat food brought by family members
    建議患者食用家屬帶來的食物
  • CAcknowledge the fear and offer packaged foods with a sealed container✓ 正解
    認可其恐懼並提供密封容器的包裝食品
  • DExplain that the hospital staff prepared the food and it is safe
    解釋醫院護理人員準備的食物是安全的
Explanation · 中文詳解

面對患有被迫害妄想(Persecutory Delusions)的病人,護理師應採取「治療性溝通(Therapeutic Communication)」技巧。核心原則是接納病人的感受,但不認同或爭辯其妄想內容。直接爭辯只會引發病人的防衛心或焦慮。提供密封包裝食品是折衷方案,既能緩解病人對食物污染的恐懼,又能確保其獲得必要的營養。

When facing a client with persecutory delusions, the nurse should use therapeutic communication techniques. The core principle is to accept the client's feelings without agreeing with or arguing against the delusional content. Direct argument only triggers the client's defensiveness or anxiety. Providing sealed packaged food is a compromise solution that both alleviates the client's fear of food contamination and ensures they receive the necessary nutrition.

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