護理師照顧一位患有思覺失調症且出現幻聽的病人。下列護理師的回應何者具備治療性？
A nurse is caring for a client with schizophrenia who is exhibiting auditory hallucinations. Which response by the nurse is therapeutic?
- AI don't hear any voices, but I understand that they are real to you.✓ 正解我聽不到任何聲音，但我理解這對你來說很真實。
- BWhat are the voices telling you to do to yourself?那些聲音叫你去傷害自己什麼？
- CWhy are you listening to those voices when nobody is there?既然沒人在那裡，你為什麼還要聽那些聲音？
- DYou need to ignore those voices because they are not real.你需要忽略那些聲音，因為它們並不真實。
思覺失調症（Schizophrenia）病人出現幻聽時，護理師應採取「現實導向（Reality-oriented）」且具同理心的溝通方式。重點在於承認病人正在經歷某種主觀感受，但同時明確表達自己並未聽到該聲音。這種作法能避免與病人的妄想內容爭辯，減少其防衛心理，同時幫助病人將注意力拉回現實，建立治療性信任關係。
When a client with schizophrenia experiences auditory hallucinations, the nurse should use a reality-oriented and empathetic communication approach. The focus is on acknowledging that the client is experiencing something subjectively real while clearly stating that the nurse does not hear those voices. This approach avoids arguing with the delusional content, reduces the client's defensiveness, helps redirect their attention to reality, and builds a therapeutic, trusting relationship.