— 心理社會完整性 · MEDIUM · MCQ —
一位精神分裂症病人告訴護理師：「聯邦調查局透過電視在竊聽我的想法。」下列何者是治療性溝通？
A client with schizophrenia tells the nurse, 'The FBI is listening to my thoughts through the television.' Which response is most therapeutic?
- AWhy do you think the FBI would be interested in your thoughts?你為什麼認為聯邦調查局會對你的想法感興趣？
- BThat sounds like a very frightening experience for you.✓ 正解這聽起來對你來說是非常可怕的經驗。
- CLet's change the subject and focus on your medication.我們換個話題，專注於你的藥物。
- DThe television is just a machine; it cannot listen to thoughts.電視只是一台機器；它無法竊聽想法。
— Explanation · 中文詳解 —
精神分裂症（Schizophrenia）病人若出現妄想（delusion），護理師不應爭辯或試圖以邏輯駁斥病人的妄想內容，因為病人無法透過理智改變對妄想的信念。有效的治療性溝通（therapeutic communication）應專注於病人的感受，運用同理心（empathy）認同病人當下的不安，進而建立護病信任關係，並後續引導病人參與治療。
When a client with schizophrenia experiences a delusion, the nurse should not argue or attempt to logically refute the delusional content, because the client cannot change their belief through reasoning. Effective therapeutic communication should focus on the client's feelings, using empathy to acknowledge their distress, which builds the nurse-client trust relationship and supports engagement in subsequent treatment.