— 心理社會完整性 · EASY · MCQ —
一位思覺失調症病人正經歷聽幻覺。護理師與其溝通時，應運用何種技巧？
A client with schizophrenia is experiencing auditory hallucinations. Which communication technique should the nurse employ when interacting with the client?
- AIgnore the hallucinations to avoid reinforcing them忽略幻覺以避免強化它們
- BAsk the client to explain what the voices are saying請病人解釋聲音在說什麼
- CChallenge the client's perception by asking for evidence透過要求證據來挑戰病人的感知
- DPresent reality to the client by stating that you do not hear the voices✓ 正解向病人陳述事實，表示你沒有聽到聲音
— Explanation · 中文詳解 —
面對幻覺時，護理師應採用現實導向（Reality Orientation）。直接說明自己未聽到該聲音，能區分護理師的感知與病人的幻覺，同時不否定病人的主觀痛苦。避免深入討論幻覺細節（選項B），以免增強幻覺強度。
Presenting reality by stating that the nurse does not hear the voices helps anchor the client without challenging their experience or reinforcing the hallucination through detailed discussion.
✦ 台美臨床差異
台美護理教育均強調現實導向，但在台灣病房常因人力限制，較難執行長時間的現實導向陪伴。