— 心理社會完整性 · MEDIUM · MCQ —
護理師正在評估一位出現偏執的病人。病人認為食物被動了手腳，最恰當的初步回應是什麼？
A nurse is assessing a client experiencing paranoia. The client believes their food is being tampered with. Which is the MOST appropriate initial response?
- A 'Why do you think someone would tamper with your food?'『你為什麼認為有人會篡改你的食物？』
- B 'We need to talk about why you feel this way.'『我們需要談談你為何有這種感覺。』
- C 'Your food is perfectly fine.'『你的食物完全沒問題。』
- D 'Let me get you a fresh meal from the kitchen.'✓ 正解『讓我從廚房幫你拿一份新鮮的餐點。』
— Explanation · 中文詳解 —
面對偏執的病人，首要任務是確保其基本需求（如飲食）能被滿足，同時避免直接挑戰其妄想。提供一份新餐點（D）能給予病人一些控制感，並可能暫時緩解其焦慮，同時不直接反駁。A 句直接否定，A 和 B 句可能會讓病人感到被質疑或壓力更大。
The most appropriate initial response is to address the client's immediate need without validating or challenging the delusion. Providing a fresh meal ensures nutrition and offers a sense of control, helping to reduce anxiety while maintaining therapeutic communication.
✦ 台美臨床差異
美台護理師在處理偏執病人的飲食疑慮時，皆強調先提供替代方案以滿足需求。美國可能更注重在提供食物時的透明化流程。