護理師正在照護一位有自殺意念的病人。病人表示：「我感到想放棄，一切都充滿絕望。」護理師最治療性的回應是什麼？
A nurse is caring for a client with a history of suicidal ideation. The client states, 'I feel like giving up. Everything is hopeless.' Which response by the nurse is most therapeutic?
- A 'Let's focus on the positive things in your life.'讓我們專注於你生活中的美好事物。
- B 'Tell me more about these feelings of hopelessness.'✓ 正解告訴我更多關於這些絕望的感覺。
- C 'You have so much to live for.'你有太多活下去的理由了。
- D 'Your family loves you and wants you here.'你的家人愛你，希望你在這裡。
面對自殺意念，最關鍵的是要讓病人感到被傾聽和理解，並評估其危機程度。開放式提問（B）鼓勵病人深入表達其絕望感，這不僅能建立信任，也能讓護理師更全面地評估自殺風險。C、D、A 句都試圖轉移或反駁病人的感受，可能讓病人覺得不被理解。
When confronting suicidal ideation, the key is to ensure that the client feels heard and understood while assessing the level of crisis. Open-ended questioning (B) encourages the client to elaborate on their feelings of hopelessness, which not only builds trust but also enables the nurse to perform a more comprehensive risk assessment. Statements C, D, and A attempt to redirect or refute the client's feelings, which may leave the client feeling misunderstood.
在自殺防治上，美台護理師都強調建立信任並評估風險。美國的臨床指南可能更強調直接詢問自殺意念的嚴重程度。