護理師照顧一位性侵受害者，病人哭泣並說：「我當時應該更用力反抗的。」護理師最適切的回應為何？
A nurse is caring for a patient who experienced a sexual assault. The patient is crying and says, 'I should have fought harder.' Which response is most appropriate?
- AThe perpetrator is solely responsible for this crime犯罪者應對這項罪行負全部責任
- BWhy do you feel that fighting harder would have changed the outcome?你認為更用力反抗會改變結果嗎？
- CYou did the best you could to survive, and you are safe now✓ 正解你已經盡力求生，現在你安全了
- DIt is important that you do not blame yourself for what happened你不應該為發生的事責怪自己，這很重要
性侵受害者常見創傷後壓力反應，其中「自我責備」是常見的心理防衛機制，病人試圖透過反思過去來尋求對事件的掌控感。護理師應提供「治療性溝通（Therapeutic Communication）」，重點在於肯定病人的生存本能，並將焦點拉回現在的安全環境，而非陷入對過去事件的道德批判或法律責任討論。護理師需展現同理心，協助病人接納創傷反應，而非急於糾正其認知。
Sexual assault survivors often exhibit post-traumatic stress responses, of which self-blame is a common psychological defense mechanism—the client tries to regain a sense of control over the event by reflecting on the past. The nurse should provide therapeutic communication that affirms the client's survival instinct and redirects focus to the present sense of safety, rather than engaging in moral judgment or discussion of legal responsibility for past events. The nurse should demonstrate empathy and help the client accept the trauma response, rather than rushing to correct the client's perception.