一位思覺失調症病人出現新語症(neologisms)與鸚鵡式仿說(echolalia)。下列哪項護理措施最合適?
A client with schizophrenia is exhibiting neologisms and echolalia. Which nursing action is most appropriate?
- AAsk the client to define the new words請個案定義這些新創詞彙
- BRedirect the conversation to a concrete topic將對話轉移至具體主題
- CCorrect the client's grammar gently溫和地糾正個案的語法
- DFocus on the feelings expressed in the communication✓ 正解專注於溝通中所表達的情緒
面對思覺失調症(schizophrenia)病人出現的新語症(neologisms,自創語言)與鸚鵡式仿說(echolalia,重複他人話語),護理師不應糾正其語法或強迫其定義。這些行為是疾病導致的思考障礙表現。最合適的溝通策略是運用同理心與治療性溝通技巧,嘗試捕捉病人話語背後的情緒連結,並給予支持性的回應,這有助於建立信任感,而非將焦點放在混亂的表層語言上。
When a client with schizophrenia exhibits neologisms (made-up words) and echolalia (repetition of others' speech), the nurse should not correct the client's grammar or force the client to define the terms. These behaviors are manifestations of the thought disorder caused by the illness. The most appropriate communication strategy is to use empathy and therapeutic communication techniques to identify the emotional content underlying the client's words and provide supportive responses. This builds trust, rather than focusing on the disorganized surface content of speech.