精神科病房的個案說：「幻聽說你要毒害我。」護理師最具治療性的回應為何？
A client in the psychiatric unit states, 'The voices are telling me that you are trying to poison me.' Which response by the nurse is most therapeutic?
- AI understand why you are scared, but I would never hurt you.我了解你為什麼感到害怕，但我絕不會傷害你
- BWhy would you think that I would want to harm you?你為什麼會認為我想要傷害你呢？
- CI do not hear any voices, but I understand that what you are hearing is very real to you.✓ 正解我沒有聽到任何聲音，但我理解你所聽到的對你來說非常真實
- DLet's talk about the medication you are taking for these voices.我們來談談你為了這些聲音所服用的藥物吧
面對幻覺個案，應運用「接納現實但否認幻覺」的策略。承認個案的感受（幻覺對其而言是真實的），但堅定表達護理師立場（我沒聽到）。A 的情緒共鳴稍顯薄弱；C 是「為什麼」問句，容易激起個案防衛心；D 此刻探討藥物會被個案視為敵意行為。
When faced with a client experiencing hallucinations, the strategy is to 'accept reality but deny the hallucination.' Acknowledge the client's experience (the hallucination is real to them) while firmly stating the nurse's reality (I do not hear them). Option A is somewhat weak in emotional resonance; option B uses a 'why' question that can provoke defensiveness; option D shifting to medication at this moment may be perceived as hostile by the client.
台美護理教育均強調「不爭辯、不強化」原則，但在台灣病房若個案出現攻擊傾向，護理師會更強調安全維護。