一位患有創傷後壓力症候群（PTSD）的個案表達了與他人疏離的感覺。下列哪項護理反應最具治療性？
A client with post-traumatic stress disorder (PTSD) expresses feelings of detachment from others. Which nursing response is most therapeutic?
- AValidate the client's feelings and provide a non-judgmental presence✓ 正解確認案主的感受並提供非評判性的陪伴
- BEncourage the client to talk about the traumatic event immediately鼓勵案主立即談論創傷事件
- CAcknowledge the client's feelings and share personal experiences肯定案主的感受並分享個人經驗
- DTell the client that everything will be fine with time告訴案主隨著時間推移一切都會好轉
對於 PTSD 個案，建立安全感與信任關係是治療的首要步驟。接納個案的疏離感並提供不具評斷的陪伴，能協助個案降低焦慮並逐漸感到受支持。給予虛假承諾或過早強迫回憶創傷會造成二度傷害，護理師應避免分享過多個人隱私，以維持專業界線。
For a client with PTSD, establishing a sense of safety and a trusting relationship is the first step of treatment. Accepting the client's feelings of detachment and providing a non-judgmental presence helps the client reduce anxiety and gradually feel supported. Offering false reassurance or prematurely forcing the client to recall the traumatic event can cause secondary harm. The nurse should also avoid sharing too much personal information in order to maintain professional boundaries.
美國護理師強調 therapeutic communication 技巧的使用；台灣醫療環境忙碌，常仰賴精神科個案管理師處理，臨床護理師常需更主動覺察病人的情緒暗示。