— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症患者正在經歷聽幻覺。護理師哪句話最能顧及病人的心理完整性？
A client with schizophrenia is experiencing auditory hallucinations. Which statement by the nurse best addresses the client's psychosocial integrity?
- AI don't hear any voices, so you should ignore them.我聽不到任何聲音，所以妳應該忽略它們。
- BYou need to realize that these voices are not real.妳需要了解到這些聲音是不真實的。
- CTell me what the voices are saying to you right now.告訴我現在這些聲音對妳說了什麼。
- DI understand that you are hearing voices, but I do not hear them.✓ 正解我知道妳聽到聲音了，但我聽不到。
— Explanation · 中文詳解 —
照護思覺失調症（Schizophrenia）患者時，最重要的原則是「誠實與同理」。護理師應承認病人確實感受到了幻覺（Validation of experience），但同時必須明確告知護理師本人並未感知到同樣的聲音（Reality testing）。這種溝通模式既能建立護理師與病人之間的信賴關係，又能協助病人區分現實，避免護理師因盲目認同幻覺而強化其妄想，或因否認幻覺而導致病人產生對立與不信任。
The nurse should acknowledge the client's experience to build trust while clearly stating that the voices are not heard by others, facilitating reality testing without dismissing the client's feelings. This approach validates the client's distress while gently distinguishing between subjective hallucination and objective reality.