— 心理社會完整性 · EASY · MCQ —
一位思覺失調症個案對護理師說：「聯邦調查局正在透過電視監聽我的想法。」護理師如何回應最具治療性？
A client with schizophrenia tells the nurse, 'The FBI is listening to my thoughts through the television.' Which response by the nurse is most therapeutic?
- ATell the client that no one is listening to them.告訴案沒有人在監聽他。
- BAsk the client why they believe the FBI is interested in them.詢問案為什麼相信聯邦調查局對他有興趣。
- CAcknowledge that the client is feeling frightened.✓ 正解確認案感到恐懼。
- DAgree that the television seems suspicious.同意電視看起來很可疑。
— Explanation · 中文詳解 —
思覺失調症（Schizophrenia）病患出現妄想時，護理師若直接反駁會引發病患的防衛心與敵意。最具治療性的回應是聚焦於病患的「感受（Feelings）」，而非妄想內容的真實性。透過同理病患的恐懼感，護理師能建立信任關係（Therapeutic Alliance），進而讓病患感到被理解，這能減輕病患因妄想而產生的心理壓力。
When a client with schizophrenia expresses delusions, directly arguing creates defensiveness and hostility. The most therapeutic response focuses on the client's feelings rather than the content of the delusion. By acknowledging the client's fear, the nurse builds a therapeutic alliance, helps the client feel understood, and reduces the psychological distress driven by the delusion.