— 心理社會完整性 · MEDIUM · SATA —
護理師照顧一位末期癌症病人,個案表達無望感。護理師應採取哪些措施?(選所有適合的)
A nurse is caring for a client with terminal cancer. The client expresses feelings of hopelessness. Which actions should the nurse perform? (Select all that apply.)
- ASit quietly with the client to show presence✓ 正解安靜地陪伴個案以顯示存在感
- BEncourage the client to express thoughts and feelings✓ 正解鼓勵個案表達想法和感受
- CTell the client that everything will be fine告訴個案一切都會沒事的
- DIdentify the client's spiritual support system✓ 正解確認個案的靈性支持系統
- EFocus exclusively on physical pain management專注於生理疼痛管理
— Explanation · 中文詳解 —
面對末期癌症病患的無望感,護理師應運用治療性溝通(Therapeutic communication)來支持個案。靜默陪伴(Presence)能傳達接納與關懷,鼓勵表達能讓病患宣洩情緒。連結靈性系統(Spiritual support)則能提供個案在人生最後階段的意義感,這些都是支持心理韌性的重要策略。
The nurse should sit quietly with the client to demonstrate therapeutic presence and encourage the expression of thoughts and feelings to address hopelessness. Identifying the client's spiritual support system provides additional emotional and existential resources. These actions support holistic psychosocial care, whereas telling the client everything will be fine is non-therapeutic and dismissive.