— 心理社會完整性 · EASY · MCQ —
一位 45 歲患有廣泛性焦慮症的個案至門診，表示有瀕死感及心悸。護理師應首選哪種治療性溝通技巧？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic expressing feelings of impending doom and heart palpitations. Which therapeutic communication technique should the nurse employ first?
- AEncouraging the client to describe the physical sensations鼓勵病人描述生理感覺
- BAsking the client to identify the source of the anxiety請病人找出焦慮的來源
- CReflecting the client's feelings of apprehension✓ 正解反映病人擔憂的感受
- DProviding information about anxiety medications提供關於焦慮藥物的資訊
— Explanation · 中文詳解 —
面對焦慮個案，建立治療性關係之首務為同理並反映其情感。透過反映情感（Reflecting），護理師能讓個案感受到被理解，這有助於降低焦慮水平，並建立信任關係。在個案情緒穩定前，過度深入探究成因或說明藥物皆非優先事項。
When caring for an anxious client, the priority in building a therapeutic relationship is to empathize with and reflect the client's feelings. By reflecting feelings, the nurse helps the client feel understood, which reduces anxiety and builds trust. Until the client's emotions stabilize, exploring causes in depth or providing medication information is not the priority.
✦ 台美臨床差異
美台護理均強調同理心，但在台灣臨床常因時間緊迫而跳過評估階段直接給予衛教。