護理師訪談一位病人，病人表示：「我覺得我的思想透過廣播放送出去，每個人都聽得到。」護理師應如何記錄此項發現？
A nurse is interviewing a client who states, 'I feel like my thoughts are being broadcasted on the radio for everyone to hear.' How should the nurse document this finding?
- AThought broadcasting✓ 正解思考廣播
- BAuditory hallucinations聽覺幻覺
- CDelusions of grandeur誇大妄想
- DThought insertion思維插入
這題考驗精神科症狀的分類。個案認為自己的想法被他人聽見或透過媒體傳播，稱為「思考廣播（Thought broadcasting）」。這是思覺失調症中常見的思考障礙之一。A（思考植入）是認為別人的想法進入自己腦中；C（誇大妄想）是認為自己有超能力或財富；D（聽幻覺）是聽到現實不存在的聲音，本題重點在於「自己的想法外洩」，與聽幻覺不同。
The nurse should document this finding as thought broadcasting, which is a delusion where the patient believes their thoughts are being transmitted to others or made public. This differs from auditory hallucinations, which involve hearing sounds without external stimuli, and thought insertion, which involves believing thoughts are placed into one's mind by external forces.
台美精神科護理詞彙基本一致，均採用 DSM-5 診斷標準，對於思考障礙的描述在護理紀錄中皆需精確對應正確醫學術語。