一位患有思覺失調症的個案正經歷聽幻覺。護理師應優先採取哪些措施？（選所有適合的）
A client with schizophrenia is experiencing auditory hallucinations. Which interventions should the nurse prioritize? (Select all that apply.)
- AAsk the client what the voices are saying✓ 正解詢問病人聲音在說什麼
- BFocus the client on reality-based activities✓ 正解引導病人專注於基於現實的活動
- CArgue with the client about the reality of the voices與病人爭辯聲音的真實性
- DMaintain a low-stimulus environment✓ 正解維持低刺激環境
- EProvide PRN medication to stop the hallucinations提供按需藥物以停止幻覺
處理聽幻覺的護理核心在於評估安全性、分散注意力與減少刺激。了解聲音內容可評估是否有暴力指令。引導至現實活動可轉移注意力，低刺激環境有助於降低感官過載。爭辯幻覺的真實性通常無效且會破壞信任關係；給藥需視醫囑與症狀嚴重度，非第一優先護理措施。
The core of nursing care for auditory hallucinations is assessing safety, redirecting attention, and reducing stimuli. Understanding the content of the voices allows assessment for command hallucinations directing violence. Redirecting to reality-based activities helps shift attention, and a low-stimulus environment lessens sensory overload. Arguing about the reality of the voices is usually ineffective and damages the therapeutic relationship; medication depends on the provider's order and symptom severity and is not the first-line nursing intervention.
美國非常強調以個案為中心的實證溝通模式；台灣在思覺失調症護理上，護理師常需在急性病房協助評估藥物副作用與環境安全。