一位剛被診斷為絕症的個案正在與護理師交談，下列哪句話最能體現治療性溝通？
A nurse is interviewing a client who has just been diagnosed with a terminal illness. Which statement by the nurse demonstrates therapeutic communication?
- ATell me more about what you are thinking and feeling right now✓ 正解告訴我你現在的想法和感受
- BEverything is going to be okay as long as you have faith只要你有信心，一切都會沒事的
- CYou shouldn't feel sad because you have lived a long life你不應該感到悲傷，因為你已經活了很久
- DMost people in your situation find peace quite quickly大多數處於你這種情況的人很快就能找到平靜
治療性溝通的核心在於鼓勵病人表達內心感受，而非否認、評價或給予虛假的安慰。選項A使用開放式提問，讓病人能自由分享其情緒體驗，這有助於護理師評估病人的應對機制。其他選項均屬於無效溝通技巧，如過度保證、評斷病人情緒或過度概括化，均會造成溝通斷層。
The core of therapeutic communication is to encourage the client to express inner feelings, rather than to deny, judge, or offer false reassurance. Option A uses an open-ended question that allows the client to share their emotional experience freely, helping the nurse to assess the client's coping mechanisms. The other options are examples of ineffective communication techniques, such as false reassurance, judging the client's feelings, or overgeneralization, all of which create barriers to communication.
美國護理教育極度重視開放式問句與感受傾聽，台灣臨床因護理時數與負荷較重，溝通時間常被精簡。