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心理社會完整性 · HARD · MCQ

護理師照護一位思覺失調症患者。下列哪句話代表個案有「思想植入」的妄想?

A nurse is providing care to a client diagnosed with schizophrenia. Which of the following statements by the client should the nurse interpret as a 'thought insertion' delusion?

  • ASomeone is putting these strange ideas into my head.✓ 正解
    有人正把這些奇怪的想法植入我的腦中。
  • BThe news anchor is speaking directly to me with a secret code.
    新聞主播正用秘密代碼直接對我說話。
  • CI know the government is watching me through the television.
    我知道政府正透過電視監視我。
  • DMy neighbors can hear everything I am thinking.
    我的鄰居能聽見我正在想的一切。
Explanation · 中文詳解

思想植入(thought insertion)是指個案深信自己的想法並非來自本人,而是外力強行灌入腦中。選項 C 為被害妄想;選項 D 為思想廣播(thought broadcasting);選項 B 為關聯性妄想(ideas of reference)。

Thought insertion is a delusion where the client believes that external forces are placing thoughts into their mind against their will. The statement 'Someone is putting these strange ideas into my head' directly reflects this experience. Other options describe different delusions: reference, persecution, or thought broadcasting, which involve interpreting external events as personal, fearing harm, or believing thoughts are audible to others.

✦ 台美臨床差異

台美臨床對思覺失調症的症狀描述用語一致,但在病房管理中,台灣較多採取保護性圍籬,美國則傾向於強調個案自我決策權。

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