護理師正在照護一位出現妄想的病人。病人認為自己被間諜跟蹤，管理此妄想最有效的方法是？
A nurse is caring for a client experiencing delusions. The client believes they are being followed by spies. Which approach is MOST effective in managing this delusion?
- ADirectly telling the client there are no spies.直接告訴病人沒有間諜
- BIgnoring the delusion completely.完全忽略妄想
- CChallenging the client to prove the spies are there.挑戰病人證明間諜的存在
- DAcknowledging the client's feelings but not validating the delusion.✓ 正解肯定病人的感受，但不確認妄想的真實性
處理妄想（Delusions）時，護理師應保持現實感，不參與或認同妄想內容，但需展現同理心。直接反駁（A）會損害護理關係，忽略（B）會讓病人感到不被重視，挑戰病人（C）會引起對抗。選項 D 最為適當，即承認病人的情緒（如恐懼、焦慮），但不認同妄想內容，並將焦點轉向現實的互動，這是護理妄想病人的標準治療性溝通技巧。
When managing delusions, the nurse should maintain a sense of reality and neither participate in nor validate the delusional content, but should also demonstrate empathy. Direct contradiction (A) damages the nurse-client relationship; ignoring (B) makes the client feel disregarded; and challenging the client (C) provokes opposition. Option D is most appropriate: acknowledge the client's feelings (such as fear or anxiety) without validating the delusional content, and redirect the focus to reality-based interaction. This is the standard therapeutic communication technique for clients with delusions.