— 心理社會完整性 · MEDIUM · MCQ —
一位精神分裂症病人開始談論「隱形特務」正在控制他的思想。護理師最合適的措施為何？
A client with schizophrenia begins talking about 'invisible agents' controlling their thoughts. Which nursing intervention is most appropriate?
- AFocus on the feelings associated with the delusion✓ 正解專注於與妄想相關的感受
- BArgue that there are no such things as invisible agents爭辯說並不存在所謂的隱形特務
- CChallenge the reality of the voices immediately立即挑戰聲音的現實性
- DAgree with the client to keep them calm同意病人的說法以保持其平靜
— Explanation · 中文詳解 —
照護思覺失調症（Schizophrenia）伴隨妄想的病人時，護理目標是建立信任關係，而非糾正病人的現實感。直接爭辯或挑戰妄想內容會引發病人的防禦心與敵意，導致治療中斷。護理師應採用「非評判性」態度，焦點應放在這些妄想帶給病人的主觀感受（如恐懼、焦慮），並鼓勵病人談論這些情緒，從而將互動導向現實生活。
When caring for a client with schizophrenia experiencing delusions, the nurse should focus on validating the emotions associated with the delusion rather than challenging its reality. This nonjudgmental approach helps build therapeutic rapport and reduces anxiety, whereas arguing or directly challenging the delusion can increase defensiveness and disrupt the therapeutic relationship.