— 心理社會完整性 · EASY · MCQ —
一位患有重度憂鬱症的個案說：「我是大家的負擔。」哪種護理反應最具有治療性？
A nurse is assessing a client with major depressive disorder who states, 'I am a burden to everyone.' Which nursing response is most therapeutic?
- ALet's focus on positive things to change your mood.讓我們專注於積極的事物以改變你的心情。
- BYou are not a burden; you have many friends who love you.你不是負擔；你有很多愛你的朋友。
- CWhy do you feel that way when your family visits so often?當你的家人經常來探望時，你為何會有這種感覺？
- DIt sounds like you are feeling very hopeless right now.✓ 正解聽起來你現在感到非常絕望。
— Explanation · 中文詳解 —
治療性溝通的核心在於同理與傾聽。D 選項運用了「反映情感」（reflecting），讓病人感覺被聽見且被接納。B 屬於否認病人感受，無助於連結；B 「為什麼」會讓病人感到被指責；A 屬於強行介入，會讓病人感到自己的負面情緒未被尊重。
The core of therapeutic communication lies in empathy and active listening. Option D uses 'reflecting feelings,' allowing the patient to feel heard and accepted. Option B denies the patient's feelings and does not help build connection; option C's 'why' makes the patient feel blamed; option A is an intrusive intervention that makes the patient feel their negative emotions are not respected.
✦ 台美臨床差異
台美皆強調治療性溝通，但在台灣臨床情境中，護理師常需兼顧行政，進行深度會談的時間較受限。