一位末期癌症病人表示感到絕望，並說：「我只是在等死，活著還有什麼意義？」護理師最具治療性的回應是什麼？
A nurse is caring for a client with terminal cancer who expresses feelings of hopelessness. The client states, 'What is the point of living when I am just waiting to die?' Which response by the nurse is most therapeutic?
- AHave you considered speaking with the hospital chaplain?您有考慮過與醫院牧師談話嗎？
- BMany patients feel this way, but you need to stay strong.許多病人都有這種感覺，但你需要保持堅強。
- CYou should focus on the time you have left with your family.你應該專注於你與家人相處的剩餘時間。
- DIt sounds like you are going through a very difficult time right now.✓ 正解聽起來你現在正經歷一段非常艱難的時期。
此回應運用了同理心與反映技術，承認客戶當下的痛苦情緒，而非急於給予建議或否定其感受。治療性溝通的核心在於鼓勵客戶進一步表達，讓其感受到被傾聽與理解，避免護理師陷入「拯救者」心態而忽視了病人的心理需求。
This response uses empathy and reflection, acknowledging the client's current painful emotions rather than rushing to provide advice or to deny the client's feelings. The core of therapeutic communication is to encourage the client to express further, allowing the client to feel heard and understood, and preventing the nurse from falling into a "rescuer" mindset that overlooks the client's psychological needs.
美國訓練強調同理心與治療性溝通；台灣醫療環境忙碌，常直接給予建議或轉介，較少停留在情緒處理階段。