護理師正在收納一位有藥物濫用史的病人。病人哭泣並對其行為表達悔恨。哪項回應最能體現治療性？
A nurse is admitting a client with a history of substance abuse. The client is tearful and expressing remorse for their actions. Which response is most therapeutic?
- A'You need to stop feeling sorry for yourself and focus on recovery.'你需要停止自憐並專注於復原。
- B'Tell me about what you are feeling right now.'✓ 正解告訴我你現在的感覺。
- C'How much of the substance did you use?'你使用了多少物質？
- D'Addiction is a disease, so it's not entirely your fault.'成癮是一種疾病，所以這不完全怪你。
當病人表達強烈情緒（如悔恨、悲傷）時，治療性回應應鼓勵病人進一步表達，讓其感受被接納。選項 B 鼓勵病人說出當下的感受，有助於建立信任並深入了解。A 句否定感受，D 句過於簡化（雖有病因學，但當下重點是同理），C 句則偏重於物質使用細節而非情緒。
When a client expresses strong emotions (such as remorse or sadness), a therapeutic response should encourage the client to express further, allowing them to feel accepted. Option B encourages the client to share their current feelings, helping to build trust and gain deeper understanding. Option A negates the feelings, Option D oversimplifies (although it carries etiological truth, the immediate focus should be empathy), and Option C focuses on details of substance use rather than emotion.
美台護理師在處理物質濫用病人的悔恨情緒時，皆強調同理與接納。美國在心理動力學的應用上，可能更強調探索早期經驗對成癮的影響。