— 心理社會完整性 · EASY · MCQ —
一位思覺失調症病人告訴護理師：「收音機正傳送秘密訊息告訴我該做什麼。」護理師應如何回應？
A client with schizophrenia tells the nurse, 'The radio is sending me secret messages to tell me what to do.' How should the nurse respond?
- AChange the subject to something more realistic and grounding.將話題轉向更現實和接地氣的事物。
- BAsk the client, 'Why do you think the radio is sending you messages?'詢問病人：「你認為收音機為什麼在傳送訊息給你？」
- CTell the client, 'That is not true, the radio is just playing music.'告訴病人：「那不是真的，收音機只是在播放音樂。」
- DAcknowledge the client's feelings while stating that you do not hear it.✓ 正解承認病人的感受，同時表示你沒有聽到。
— Explanation · 中文詳解 —
思覺失調症（Schizophrenia）病人常出現聽幻覺，護理的核心原則是「現實導向」且「不認同妄想」。護理師應採用治療性溝通，確認病人的感受（如焦慮、恐懼），同時溫和且堅定地表達自己並未聽到該聲音，以協助病人將注意力拉回現實，而非陷入爭辯或認同其妄想內容。這種方式既能維護治療性關係，又能避免強化病人的病理症狀。
The nurse should use therapeutic communication by acknowledging the client's feelings without validating the delusion. By stating that the nurse does not hear the voices, the nurse provides reality orientation without arguing, which helps maintain trust and prevents reinforcing the psychotic symptom.