一位 45 歲憂鬱症患者入院，表示「活著沒意義了」。護理師下列哪種回應最展現治療性溝通？
A 45-year-old client is admitted for major depressive disorder. The client states, 'Life is not worth living anymore.' Which statement by the nurse best demonstrates therapeutic communication?
- AAre you thinking about ending your life?✓ 正解你有考慮結束自己的生命嗎？
- BLet's talk about something more positive.我們來談些更積極的事情吧。
- CDon't worry, things will get better soon.別擔心，情況很快就會好轉。
- DWhy do you feel that way when you have a family?既然你有家庭，為什麼會有這種感覺？
面對表達「活著沒意義」的憂鬱症患者，護理師必須展現高度的危機意識。直接詢問自殺意念（Suicidal ideation）是臨床評估的金科玉律，這不僅不會「提醒」或「誘發」自殺，反而能讓病人感受到被理解與重視，並協助護理師評估其自殺計畫的具體性與危險性。其他選項如給予空泛的安慰、轉移話題或詢問「為什麼」都會阻礙治療性溝通，使病人感到被忽視或指責。
When confronted with a depressed client who states that 'life is not worth living,' the nurse must demonstrate a high level of crisis awareness. Directly asking about suicidal ideation is the gold standard in clinical assessment; it does not 'remind' or 'trigger' suicide, and instead allows the client to feel understood and valued, while helping the nurse evaluate the specificity and lethality of any suicide plan. Other options, such as giving vague reassurance, changing the subject, or asking 'why,' impede therapeutic communication and make the client feel ignored or blamed.