— 心理社會完整性 · HARD · MCQ —
一位精神分裂症病人認為餐點被下毒，護理師應給予何種最具治療性的回應？
A nurse is caring for a client with schizophrenia who believes that their food is being poisoned. What is the most therapeutic response by the nurse?
- AAsk the client why they think someone would want to poison them詢問病人為何認為有人想毒害他們
- BExplain that no one in the hospital wants to harm them解釋醫院裡沒有人想傷害他們
- CTell the client that the hospital food is safe告訴病人醫院的食物是安全的
- DOffer the client food in unopened, sealed containers✓ 正解提供未開啟、密封包裝的食物給病人
— Explanation · 中文詳解 —
針對患有精神分裂症 (Schizophrenia) 且出現被害妄想 (Paranoid delusion) 的病人，護理原則是「不辯論、不挑戰、提供支持」。直接告訴病人食物安全或解釋沒人要害他，會被病人視為與施害者同一陣線，進而破壞護病關係。提供未開封的食物能尊重病人的安全感，同時確保其基本營養需求。
The nurse should offer food in unopened, sealed containers to respect the client's need for safety without validating the delusion. Arguing with or challenging paranoid beliefs can damage the therapeutic relationship, whereas providing sealed food maintains trust while ensuring nutritional intake.