— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位末期癌症病患，個案表示感到絕望。下列哪句護理師的回應展現了有效的治療性溝通？
A nurse is caring for a client with terminal cancer who is expressing feelings of hopelessness. Which statement by the nurse demonstrates effective therapeutic communication?
- AYou should focus on the time you have left with your family你應該專注於你與家人共度的剩餘時光
- BEverything will be fine, you just need to stay positive一切都會沒事的，你只需要保持樂觀
- CTell me more about what is making you feel so hopeless today✓ 正解告訴我更多關於今天讓你感到如此絕望的事情
- DMany people with your condition feel the same way許多患有你這種狀況的人都有同樣的感受
— Explanation · 中文詳解 —
有效的治療性溝通核心在於「開放式提問」與「同理傾聽」。選項 C 鼓勵個案表達內在感受，讓護理師能進一步評估其絕望的深度。其餘選項皆屬於「否定性安慰」（False reassurance）或「評斷式建議」，會阻礙治療關係的建立。
The core of effective therapeutic communication lies in open-ended questioning and empathetic listening. Option C encourages the client to express inner feelings, allowing the nurse to further assess the depth of hopelessness. The other options represent false reassurance or judgmental advice, which obstruct the development of the therapeutic relationship.
✦ 台美臨床差異
美國護理教育極度重視治療性溝通技巧（Therapeutic Communication），台灣臨床因護病比高，溝通時間常被壓縮。