護理師觀察到一位思覺失調症個案在走廊來回踱步並與幻聽對話。護理師應首先採取什麼行動？
A nurse observes a client with schizophrenia pacing the hall and talking to voices. Which action should the nurse take first?
- ARedirect the client to a group activity to distract them將個案引導至團體活動以分散注意力
- BAsk the client what the voices are saying詢問個案幻聽的內容
- CAdminister an antipsychotic medication給予抗精神病藥物
- DProvide a safe, non-stimulating environment✓ 正解提供安全且低刺激的環境
思覺失調症（Schizophrenia）個案若出現來回踱步（pacing）及與幻聽（hallucinations）對話，顯示病人處於感官超載或焦慮狀態。在 NCLEX 考試中，優先順序原則（Priority）的首要任務是確保病人安全（Safety）。提供低刺激環境（low-stimulation environment）能有效降低病人的神經與情緒負荷，避免激動行為升級為暴力攻擊。詢問幻聽內容雖是評估的一部分，但應在病人冷靜後進行；強行誘導病人參與活動可能適得其反，藥物給予則需醫囑且非首要行動。
When a client with schizophrenia paces back and forth and talks to auditory hallucinations, the client is experiencing sensory overload or anxiety. On the NCLEX, the priority principle is to ensure client safety. Providing a low-stimulation environment effectively reduces the client's neurologic and emotional load and prevents agitated behavior from escalating into violence. Asking about the content of the hallucinations is part of assessment but should be done after the client has calmed; forcing the client to participate in activities may be counterproductive, and medication administration requires a provider's order and is not the priority action.