護理師正在照護一位被診斷為末期疾病的病人。病人表達憤怒並問：「為什麼是我？這不公平！」最治療性的回應是什麼？
A nurse is caring for a client who has been diagnosed with a terminal illness. The client expresses anger and asks, 'Why me? It's not fair!' What is the most therapeutic response?
- A 'You need to accept your situation.''你需要接受你的狀況。'
- B 'Everything happens for a reason.''凡事皆有其原因。'
- C 'It's understandable that you feel angry and that this seems unfair.'✓ 正解'你感到憤怒且認為這不公平是可以理解的。'
- D 'Let's focus on treatment options.''讓我們專注於治療選項。'
面對末期疾病病人的憤怒情緒，護理師應展現治療性溝通（Therapeutic communication）。「承認與接納」是關鍵，病人正在經歷悲傷的各個階段（憤怒期）。承認其感受（C）能建立信任，讓病人感到被接納。反觀其他選項，如給予空洞的說教（B）、強迫病人接受（A）或過早轉移焦點（D），都會讓病人感覺被拒絕或忽視，阻礙悲傷過程。
When confronted with the anger of a client with a terminal illness, the nurse should use therapeutic communication. 'Acknowledgment and acceptance' are key; the client is moving through stages of grief (the anger stage). Acknowledging the client's feelings (C) builds trust and helps the client feel accepted. In contrast, offering empty platitudes (B), forcing acceptance (A), or prematurely shifting focus (D) can make the client feel rejected or ignored, hindering the grief process.