— 心理社會完整性 · MEDIUM · MCQ —
精神科病房的個案表示：「我是上帝之子，我是來拯救世界的。」護理師採取何種回應最具治療性？
A client in a psychiatric unit states, 'I am the son of God and I have come to save the world.' Which response by the nurse is most therapeutic?
- AAsk the client why they believe they are the son of God詢問病人為何認為自己是上帝之子
- BAcknowledge the client's feelings while focusing on reality-based activities✓ 正解在聚焦於現實基礎活動的同時，認可病人的感受
- CChallenge the reality of the client's statement to correct the delusion挑戰病人陳述的現實性以糾正妄想
- DExplain to the client that this is a symptom of their illness向病人解釋這是其疾病的症狀
— Explanation · 中文詳解 —
面對思覺失調症（Schizophrenia）個案的妄想（Delusion），護理的核心目標是建立信任感（Trust）並維持現實導向（Reality Orientation）。直接挑戰或爭辯妄想內容會導致病人焦慮加劇、防衛心增強甚至攻擊行為。正確做法是接納病人的情緒感受，但將對話引導至現實層面，透過結構化的活動穩定其情緒。
The nurse should acknowledge the client's feelings without validating the delusion to maintain rapport and prevent agitation. Directly challenging the belief or asking 'why' can increase anxiety and reinforce the delusional thinking. Instead, the nurse focuses on reality-based activities to help ground the client.