一位思覺失調症病人告訴護理師：「幻聽告訴我食物有毒。」下列何種回應最適當？
A client with schizophrenia tells the nurse, 'The voices are telling me that the food is poisoned.' Which response is most appropriate?
- AI understand that you hear voices, but I do not hear them and the food is safe✓ 正解我明白你聽到聲音，但我沒有聽到，而且食物是安全的
- BLet's talk to the doctor about changing your medication我們來跟醫生討論更換你的藥物
- CWhy do you think the voices are saying that?你為什麼認為聲音那樣說？
- DI don't hear any voices, and the food is safe to eat我沒有聽到任何聲音，而且食物可以安全食用
針對幻覺的治療性溝通原則為：不認同其幻覺內容，同時表示對病人主觀感受的理解。直接否定（選項D）會破壞治療關係；詢問原因（選項C）會使病人更關注幻覺內容；改變藥物（選項B）需醫師評估。選項A清楚界定 reality 且展現同理心，是最佳介入。
The therapeutic communication principle for hallucinations is to avoid agreeing with the content of the hallucination while acknowledging the client's subjective experience. Direct denial (option D) damages the therapeutic relationship; asking why (option C) draws further focus to the hallucinatory content; changing medications (option B) requires physician evaluation. Option A clearly defines reality while expressing empathy and is the best intervention.
台灣文化背景下，護理師對幻聽病人的應對更強調保護，有時會採取轉移注意力策略。