一位思覺失調症患者出現妄想徵兆。哪種處理方式最具治療性？
A client with schizophrenia is exhibiting signs of a delusion. Which approach is most therapeutic?
- AChallenge the reality of the client's statements挑戰個案陳述的事實性
- BFocus on the feelings associated with the delusion✓ 正解專注於與妄想相關的感受
- CRedirect the conversation to a concrete topic將對話轉移至具體主題
- DAgree with the client to maintain rapport同意個案的說法以維持良好關係
面對思覺失調症（Schizophrenia）患者的妄想（Delusion），護理的核心目標是建立信任關係，而非糾正其認知。妄想通常源於患者內心的焦慮、無助或恐懼，因此直接挑戰現實會引發患者的防衛心，導致溝通中斷甚至出現攻擊行為。治療性溝通應採取同理心策略，聚焦於妄想所引發的「感受」，而非事實本身。這種做法既能安撫病人，又能讓護理師在不認同妄想內容的前提下，維持專業的治療關係。
When working with clients with schizophrenia experiencing delusions, the core goal of nursing care is to build a trusting relationship rather than to correct their thinking. Delusions usually arise from the client's inner anxiety, helplessness, or fear, so directly challenging reality will provoke defensiveness, disrupt communication, and may even trigger aggressive behavior. Therapeutic communication should adopt an empathetic strategy, focusing on the feelings the delusion evokes rather than on the facts themselves. This approach soothes the client while allowing the nurse to maintain a professional therapeutic relationship without endorsing the content of the delusion.