— 心理社會完整性 · MEDIUM · MCQ —
一位新診斷思覺失調症的個案表示恐懼，認為醫院員工計畫在食物中下毒。護理師最合適的回應為何？
A client newly diagnosed with schizophrenia expresses fear that the hospital staff is plotting to poison their food. Which response by the nurse is most appropriate?
- ATell the client that no one here is trying to hurt them告訴病人這裡沒有人試圖傷害他們
- BExplain that the kitchen staff follows strict safety protocols解釋廚房人員遵循嚴格的安全協議
- CAllow the client to choose pre-packaged, unopened food items✓ 正解讓病人選擇預先包裝且未拆封的食物
- DAsk the client why they believe the staff would do that問病人為什麼認為員工會那樣做
— Explanation · 中文詳解 —
思覺失調症（Schizophrenia）個案常伴有被害妄想（Paranoid delusion）。針對妄想內容，護理師不應爭辯或試圖以邏輯說服，因為這會破壞治療性關係。最合適的做法是尊重個案的疑慮，並提供能讓個案感到「安全」的替代方案，例如提供未開封的食物，這樣既能滿足個案的營養需求，又能降低其焦慮感。
Allowing the client to choose pre-packaged, unopened food addresses their paranoid delusions without arguing or reinforcing the false belief. This approach respects the client's concerns, reduces anxiety, and ensures nutritional intake while maintaining a therapeutic relationship.