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心理社會完整性 · MEDIUM · SATA

下列哪些護理評估適用於正經歷哀傷過程的病人?(選所有適合的)

Which of the following nursing assessments are appropriate for a client experiencing the grieving process? (Select all that apply.)

  • AAssessing the client's spiritual and religious beliefs✓ 正解
    評估病人的靈性與宗教信仰
  • BEvaluating the client's coping mechanisms used in the past✓ 正解
    評估病人過去使用的因應機制
  • CMonitoring for signs of prolonged, complicated grief✓ 正解
    監測延長性、複雜性哀傷的跡象
  • DTelling the client exactly how they should move through grief stages
    告訴病人他們應該如何經歷哀傷階段
  • EAssessing for potential risk of self-harm✓ 正解
    評估潛在的自我傷害風險
Explanation · 中文詳解

哀傷過程(Grieving process)是高度個別化的體驗。護理評估應涵蓋病人的靈性資源、過去的應對機制、是否存在複雜性哀傷(Complicated grief),以及最重要的自我傷害風險。護理師的角色是陪伴與支持,而非強迫病人遵循特定的哀傷階段理論(如庫伯勒-羅絲模型),因為每個人在哀傷中的進程與表現皆不同。

The grieving process is a highly individualized experience. Nursing assessment should encompass the client's spiritual resources, previous coping mechanisms, the presence of complicated grief, and, most importantly, the risk of self-harm. The nurse's role is to accompany and support the client rather than force them through a prescribed series of grief stages (such as the Kübler-Ross model), because each individual's progression through and expression of grief is unique.

✦ 台美臨床差異

美國臨床非常強調在評估中納入「靈性(Spirituality)」層面,通常會詢問病人是否有宗教或靈性支持團體,這在台灣臨床較少作為常規評估項目。

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