一位癌症末期病患表達絕望感，並稱：「我這麼痛，活著有什麼意義？」護理師最具治療性的回應為何？
A client in the terminal phase of cancer expresses feelings of hopelessness and states, 'What is the point of living when I am in so much pain?' Which response by the nurse is most therapeutic?
- AYou should focus on the time you have left with your family你應該專注於與家人相處的剩餘時間
- BDo not worry, we will make sure your pain is controlled別擔心，我們會確保你的疼痛得到控制
- CTell me more about what you are feeling right now✓ 正解告訴我你現在的感覺如何
- DWould you like me to call the hospital chaplain?要我打電話給醫院牧靈人員嗎？
在照護癌症末期病人時，護理師應展現同理心（empathy）並採用治療性溝通（therapeutic communication）。病人表達絕望感時，護理師應鼓勵其進一步抒發情緒，而非急於給予建議、轉移話題或進行宗教介入。回應「Tell me more about...」屬於開放式問句，能讓病人感受到被傾聽與被接納，這是建立信任關係與緩解心理苦痛的基礎。
When caring for a terminally ill cancer patient, the nurse should display empathy and use therapeutic communication. When the client expresses feelings of hopelessness, the nurse should encourage further emotional expression rather than rushing to give advice, change the subject, or introduce religious intervention. The response 'Tell me more about...' is an open-ended question that allows the client to feel listened to and accepted, which is the foundation for building a trusting relationship and easing psychological distress.