— 心理社會完整性 · MEDIUM · MCQ —
護理師正在照護一位有誇大妄想的病人。病人說：「我是世界上最富有的人，我擁有所有的銀行。」最治療性的回應是什麼？
A nurse is caring for a client experiencing delusions of grandeur. The client states, 'I am the wealthiest person in the world and I own all the banks.' What is the MOST therapeutic response?
- A 'That's a very interesting thought.'那是個很有趣的想法
- B 'You are not the wealthiest person in the world.'你不是世界上最有錢的人
- C 'Let's talk about how you are feeling today.'我們來談談你今天感覺如何
- D 'Tell me more about what it's like to own all the banks.'✓ 正解告訴我擁有一家銀行是什麼感覺
— Explanation · 中文詳解 —
面對誇大妄想（Delusions of grandeur）的病人，護理師應採取「不認同也不挑戰」的原則。直接反駁（B）會引起病人的防衛心或對抗，而過於被動或轉移話題（A、C）則會阻礙建立治療性關係。鼓勵病人談論妄想背後的感受（D），可以引導病人表達潛在的情感需求（如自尊受損、渴望被重視），這才是最有治療意義的溝通方式。
Stopping antibiotics prematurely because symptoms improve increases the risk of bacterial resistance and disease recurrence. Clients must be taught to complete the full prescribed course to ensure all pathogens are eradicated.