— 心理社會完整性 · HARD · MCQ —
一位末期癌症病人表示希望尋求協助自殺，護理師最恰當的回應為何？
A nurse is caring for a client with terminal cancer who expresses a wish for assisted death. What is the most appropriate response by the nurse?
- AAsk the client to talk more about these feelings✓ 正解詢問病人多談談這些感受
- BChange the subject to distract the client轉移話題以分散病人注意力
- CExplain that this is illegal and unethical說明此舉違法且不道德
- DTell the client that things will get better soon告訴病人情況很快就會好轉
— Explanation · 中文詳解 —
面對病人表達結束生命的意願，護理師應運用治療性溝通技巧，鼓勵表達並探討其背後的痛苦根源。選項 C 過於說教；B 否定了病人的現實感受；B 則錯失了評估病人是否有憂鬱或未滿足的靈性需求之契機，可能會增加病人的孤立感。
When a client expresses a wish to end life, the nurse should use therapeutic communication techniques to encourage expression and explore the underlying source of suffering. Option C is overly moralistic; option D invalidates the client's lived feelings; and option B misses the opportunity to assess for depression or unmet spiritual needs, potentially increasing the client's sense of isolation.
✦ 台美臨床差異
在美國部分州，醫療協助自殺是合法的，護理師需遵守該州法規；台灣目前此舉為非法，但護理師仍須進行靈性關懷評估。