— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人拒絕服藥，因為他相信藥物有毒。護理師的最佳回應為何？
A client with schizophrenia is refusing to take medication because they believe it is poisoned. What is the best response by the nurse?
- ACrush the pill and hide it in the client's food將藥丸碾碎並隱藏於病人食物中
- BAcknowledge the client's fear and offer an alternative form (e.g., liquid)✓ 正解認可病人的恐懼並提供替代劑型（例如液態）
- CTell the client that the medication is not poisoned告訴病人藥物沒有毒
- DTell the client that they must take the medicine告訴病人他們必須服藥
— Explanation · 中文詳解 —
面對思覺失調症（Schizophrenia）病人的被害妄想，護理師應採取「不反駁、不認同、轉移焦點、建立信任」的原則。直接爭辯（C）會破壞醫病關係，強迫（D）或欺騙（A）則會加深病人的恐懼與妄想，導致未來更嚴重的拒藥行為。透過同理其感受並提供較不具威脅性的給藥形式（如液態藥物），可降低病人的焦慮，並在不挑戰妄想的前提下完成治療。
The nurse should validate the client's feelings without reinforcing the delusion to build trust and reduce anxiety. Offering an alternative medication form, such as a liquid, provides a compromise that respects the client's fear while facilitating treatment adherence.