— 心理社會完整性 · MEDIUM · MCQ —
精神科病房的一位病人說：「我是政府派的特務，每個人都在監視我。」哪種護理回應最具治療性？
A client in the psychiatric unit states, 'I am a secret agent for the government and everyone is watching me.' Which nursing response is most therapeutic?
- AAcknowledge the client's feelings while focusing on reality✓ 正解肯定病人的感受，同時聚焦於現實
- BIgnore the comment to avoid reinforcing the delusion忽略該評論以避免強化妄想
- CAsk the client for evidence to support their claim詢問病人是否有證據支持其說法
- DExplain that no one is watching them and they are in a safe place解釋沒有人監視他們，他們處於安全的地方
— Explanation · 中文詳解 —
在精神科照護中，面對妄想（Delusion）病人，護理師應保持專業態度，不應直接反駁或認同妄想內容。最佳策略是「承認感受但聚焦現實」（Acknowledging feelings while focusing on reality）。承認病人感受到的壓力，但將話題引導回當下安全的醫療環境，有助於建立護病關係並減少衝突。
When caring for a client with delusions, the nurse should acknowledge the client's feelings without validating the false belief. This approach focuses on reality and helps maintain therapeutic rapport while reducing potential conflict. Directly challenging the delusion or asking for evidence can increase hostility and reinforce the delusional thinking.