病人說：「我覺得自己對家人是個累贅。」護理師最適當的治療性回應為何？
A client states, 'I feel like a burden to my family.' What is the best therapeutic nursing response?
- A'Would you like to talk to a chaplain instead?''您想改跟牧師談談嗎？'
- B'Tell me what makes you feel like a burden to them.'✓ 正解'告訴我為什麼您覺得自己是他們的負擔。'
- C'You shouldn't feel that way; they love you.''你不應該有那種感覺；他們愛你。'
- D'Many people with chronic illnesses feel this way.''許多慢性病患都有這種感覺。'
在治療性溝通中，護理師的首要目標是鼓勵病人表達感受，而非急於給予建議或否定其負面情緒。使用開放式問句（Open-ended questions）能引導病人深入探討其無助感的具體原因（如疾病帶來的角色改變），這是建立護理信任關係與評估心理健康的基礎。否定病人的感覺或將焦點轉移，會讓病人感到不被理解，進而阻斷溝通。
In therapeutic communication, the nurse's primary goal is to encourage the client to express feelings rather than to rush to give advice or invalidate negative emotions. Using open-ended questions guides the client to explore the specific reasons behind feelings of helplessness (such as role changes caused by illness) and is foundational to building trust and assessing mental health. Invalidating the client's feelings or shifting the focus makes the client feel misunderstood, blocking communication.