— 照護管理 · HARD · MCQ —
護理師照顧處於哀傷狀態的病人，哪項行動能支持病人？
A nurse is caring for a client experiencing grief. Which action supports the client?
- AChanging the subject to something more cheerful將話題轉移到更令人愉快的事情上
- BTelling the client, 'Don't worry, everything will be fine'告訴案主：『別擔心，一切都會沒事的』
- CUsing therapeutic silence to allow the client to express feelings✓ 正解運用治療性沉默，讓案主表達感受
- DEncouraging the client to suppress their tears鼓勵案主壓抑眼淚
— Explanation · 中文詳解 —
對於處於哀傷（Grief）過程中的病人，護理師應提供「治療性溝通（Therapeutic communication）」。治療性靜默能創造空間，讓病人感受到被接納與陪伴，這是支持哀傷者最有效的方式。避免給予廉價的安慰（False reassurance），因為那會抹殺病人的感受，讓病人覺得無法表達真正的痛苦。
For a client undergoing grief, the nurse should provide therapeutic communication. Therapeutic silence creates space for the client to feel accepted and accompanied, which is the most effective way to support someone grieving. Avoid offering false reassurance, which negates the client's feelings and prevents the client from expressing their true pain.
✦ 台美臨床差異
美國護理教育強調「文化敏感度（Cultural Sensitivity）」，在哀傷照護中，護理師需尊重不同文化對於表達哀傷的差異，治療性靜默在各種文化中通常皆被視為尊重。