護理師面談一位近期搬家到新城市，並表示感到「孤單且絕望」的青少年。下列哪項護理回應最具支持性？
A nurse is interviewing an adolescent who recently moved to a new city and reports feeling 'lonely and hopeless.' Which response by the nurse is most supportive?
- AYou are young and will make new friends soon.你還年輕，很快就會交到新朋友。
- BHave you tried joining any school clubs?你有嘗試參加學校社團嗎？
- CDo you have siblings to talk to?你有兄弟姐妹可以聊天嗎？
- DI understand that moving is difficult; tell me more about your feelings.✓ 正解我了解搬家很困難；請告訴我更多你的感受。
在心理護理中，展現同理心（empathy）是建立治療性溝通（therapeutic communication）的基礎。面對青少年的孤獨感與絕望，護理師應先「確認（validate）」其情緒，而非急於提供解決方案或過度樂觀的勸說。選項 D 展現了主動傾聽與開放式態度，能鼓勵個案進一步表達內心困擾，這是評估其憂鬱程度與自殺風險的第一步。
In psychiatric nursing, demonstrating empathy is the foundation of therapeutic communication. When confronted with an adolescent's loneliness and hopelessness, the nurse should first validate the client's feelings rather than rush to provide solutions or overly optimistic reassurance. Option D reflects active listening and an open stance, encouraging the client to elaborate on their inner distress; this is also the first step in assessing the severity of depression and suicide risk.