— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人說：「FBI 正透過電視追蹤我。」護理師哪項回答最合適？
A nurse is caring for a client with schizophrenia who states, 'The FBI is tracking me through the television.' Which response by the nurse is most appropriate?
- AI understand that you believe that, but I don't see any evidence of it.✓ 正解我理解你的想法，但我沒有看到任何證據。
- BYou shouldn't watch television if it makes you feel paranoid.如果你感到多疑，就不應該看電視。
- CThe FBI has no reason to track you; you are safe here.FBI沒有理由追蹤你；你在這裡很安全。
- DHow long has the FBI been watching you through the TV?FBI透過電視追蹤你已經多久了？
— Explanation · 中文詳解 —
處理妄想時，護理師應採取「呈現現實」但不與病人爭辯的策略。選項 A 承認了病人的感受（感受的真實性），同時溫和地表達護理師並不認同該妄想內容（Presenting reality）。C 選項是爭辯；D 會強化妄想；B 則是逃避問題且帶有指責意味。
When dealing with delusions, the nurse should adopt a strategy of presenting reality without arguing with the patient. Option A acknowledges the patient's feelings (the reality of the emotion) while gently indicating that the nurse does not share the delusional belief (presenting reality). Option C is argumentative; Option D reinforces the delusion; and Option B avoids the issue and carries an accusatory tone.
✦ 台美臨床差異
無顯著差異。Presenting reality 是全球精神科護理的核心技術。