一位思覺失調症的個案說：「這些聲音告訴我不要吃東西，因為食物有毒。」護理師最具治療性的回應為何？
A client with schizophrenia states, 'The voices are telling me to stop eating because the food is poisoned.' Which response is most therapeutic?
- AAcknowledge the voices but focus on the client's need for nutrition.✓ 正解承認幻聽的存在，但將焦點放在個案的營養需求上
- BAsk the client, 'Why do you think the voices want to hurt you?'詢問個案：「你認為這些聲音為什麼想傷害你？」
- CTell the client, 'There is no poison in the food; you are safe.'告訴個案：「食物中沒有毒，你是安全的。」
- DIgnore the comment and focus on current events in the news.忽略此評論，並聚焦於新聞中的時事
面對思覺失調症（Schizophrenia）個案的妄想與幻聽，護理重點在於「承認個案的感受，但不認同其妄想內容」。直接辯論會破壞護理治療關係（Therapeutic Relationship），而忽視則會加深個案的疏離與焦慮。正確的做法是承認個案確實聽到聲音（幻覺），隨後將焦點轉移至現實需求（營養攝取），以維護生理安全。
When caring for a client with schizophrenia experiencing delusions and auditory hallucinations, the nursing focus is to "acknowledge the client's feelings without agreeing with the content of the delusion." Directly arguing will damage the therapeutic relationship, while ignoring will deepen the client's sense of isolation and anxiety. The correct approach is to acknowledge that the client truly hears the voices (hallucinations), then redirect the focus to reality-based needs (nutritional intake) in order to maintain physiological safety.
在美國臨床教學中，強調「Validation Therapy（確認治療）」的原則，即確認個案的痛苦感受，而非確認妄想內容的真實性，這與台灣臨床教學原則一致。