— 心理社會完整性 · MEDIUM · MCQ —
一位思覺失調症病人正在踱步並大喊：「政府在監控我的大腦。」護理師哪一句話最能展現治療性溝通？
A patient with schizophrenia is pacing and shouting, 'The government is tracking my brain.' Which statement by the nurse best demonstrates therapeutic communication?
- AYou seem very distressed; tell me more about what you are experiencing.✓ 正解您看起來很痛苦；請告訴我更多您正在經歷的感受。
- BThat is not true, no one is tracking your brain.那不是真的，沒有人在監控你的大腦。
- CLet's focus on reality instead of those thoughts.讓我們專注於現實，而不是那些想法。
- DWhy would the government want to track your brain?政府為什麼要監控你的大腦？
— Explanation · 中文詳解 —
面對思覺失調症（Schizophrenia）病人的妄想（Delusion），護理師應採取「不認同、不辯論、聚焦於感受」的原則。若直接否定病人的妄想，會引發病人防衛機制並破壞治療性關係（Therapeutic Relationship）。選項 A 展現了同理心，將焦點從妄想內容轉移至病人的情緒狀態，這有助於降低焦慮並建立信任感，這是護理介入的首要步驟。
Therapeutic communication with a client experiencing delusions involves validating their emotional distress rather than confronting the false belief directly. By acknowledging the client's feelings and inviting them to share more, the nurse builds trust and reduces anxiety without reinforcing the delusion.