— 心理社會完整性 · MEDIUM · MCQ —
一位癌症末期個案表達對孤獨死亡的恐懼。下列哪項護理師的反應最能展現治療性溝通？
A client in the terminal stage of cancer expresses fear of dying alone. Which nursing response best demonstrates therapeutic communication?
- AWould you like me to call the hospital chaplain to visit you?您希望我打電話請醫院牧師來探望您嗎？
- BYou have many family members who love you very much.您有許多非常愛您的家人。
- CIt is normal to feel afraid when facing the end of life.面對生命終點感到害怕是正常的。
- DTell me more about what you are experiencing regarding your fear.✓ 正解請告訴我更多關於您對恐懼的感受。
— Explanation · 中文詳解 —
治療性溝通的核心在於鼓勵個案表達深層情感，而非單純的安撫或轉移話題。詢問個案對恐懼的具體感受，能幫助護理師了解其心理需求與焦慮來源，建立穩固的治療性關係。選項 B 屬於虛假的安慰，選項 C 雖同理但未能深入，選項 A 則是過早採取行動，未給予病人表達機會。
Therapeutic communication uses open-ended questions to invite the client to express deeper feelings. 'Tell me more about what you are experiencing regarding your fear' helps the nurse understand the source of distress and build a therapeutic relationship. False reassurance (B) minimizes feelings; closed validation (C) ends the dialogue; offering a chaplain (A) jumps to a solution before exploration.
✦ 台美臨床差異
美國護理教育極度重視開放式問題與溝通技巧，台灣臨床雖重視，但在高工作量下常淪為照護流程的一部分。