— 心理社會完整性 · MEDIUM · MCQ —
在與精神科病人互動時，護理師的哪些行為展現了「自我之治療性運用」？
Which behaviors by a nurse demonstrate therapeutic use of self when interacting with a psychiatric client?
- AAgreeing with the client's delusions to avoid conflict為避免衝突而同意病人的妄想
- BTaking over the client's decision-making responsibilities接管病人的決策責任
- CSharing personal stories to relate to the client's experiences分享個人故事以與病人的經驗產生共鳴
- DMaintaining professional boundaries while being empathetic✓ 正解在保持同理心的同時維持專業界線
— Explanation · 中文詳解 —
精神科護理中的「自我之治療性運用（therapeutic use of self）」是指護理師運用自身的人格特質、知識與溝通技巧來促進病人的療癒。這要求護理師在展現同理心與接納的同時，必須嚴格維持專業邊界（professional boundaries）。護理師不是病人的朋友，而是專業的照顧者，過度的自我揭露或取代決策都會破壞治療性關係。
In psychiatric nursing, 'therapeutic use of self' refers to the nurse's use of personal qualities, knowledge, and communication skills to promote the client's healing. This requires the nurse to maintain strict professional boundaries while simultaneously demonstrating empathy and acceptance. The nurse is not the client's friend but a professional caregiver; excessive self-disclosure or assumption of the client's decisions undermines the therapeutic relationship.