— 心理社會完整性 · MEDIUM · MCQ —
一位精神科住院病人拒絕服藥，聲稱：「這些藥是要毒害我的。」護理師應如何回應？
A client on an inpatient psychiatric unit refuses to take medication, stating, 'The pills are meant to poison me.' How should the nurse respond?
- AAcknowledge the client's fear while restating the medication's purpose✓ 正解承認病人的恐懼，同時重申藥物的目的
- BExplain that the medication is safe and beneficial解釋該藥物是安全且有益的
- CCrush the medication and mix it into the client's juice將藥物磨碎並混入病人的果汁中
- DTell the client that the doctor would not prescribe poison告訴病人醫生不會開立毒藥
— Explanation · 中文詳解 —
面對出現妄想（Delusion）的病人，護理師的核心任務是建立治療性關係（Therapeutic Relationship）並促進安全。直接反駁病人的妄想內容（如：D、B 選項）會讓病人感受到威脅與不被信任，導致防禦心增強，甚至拒絕進一步治療。正確的溝通技巧是「承認感受，堅持原則」，即承認病人感到恐懼的真實性，同時溫和地重申給藥的目的與護理師的職責，建立互信以降低其焦慮與戒心。
Validating the client’s feelings while calmly restating the medication's therapeutic purpose helps build trust without reinforcing the delusion. Directly arguing with or dismissing the client's fears can increase anxiety and damage the therapeutic relationship.