— 心理社會完整性 · MEDIUM · MCQ —
一位個案告訴護理師：「我覺得我的生命再也沒有任何意義了。」護理師的回應何者最具治療性？
A nurse is caring for a client who states, 'I feel like my life has no meaning anymore.' Which response by the nurse is most therapeutic?
- ATell me more about what you are experiencing right now.✓ 正解告訴我更多你現在的感受。
- BHave you considered talking to a chaplain or counselor?你有考慮過與牧師或諮商師談話嗎？
- CYou have so much to live for, you shouldn't feel that way.你有這麼多值得活下去的理由，不應該有這種感覺。
- DWhy do you feel that your life has no meaning?你為什麼覺得你的生命沒有意義？
— Explanation · 中文詳解 —
此題旨在應用溝通技巧。A選項使用開放式提問，鼓勵個案探索內在感受，是護理治療性溝通的基礎。D選項詢問「為什麼」容易讓個案產生防衛心態；C選項則是虛假的保證與價值評判，會終止溝通；B選項過早轉移話題，忽略了個案當下的需求。
This item addresses the application of communication techniques. Option A uses an open-ended question to encourage the client to explore inner feelings, which is the foundation of therapeutic nursing communication. Option D, asking 'why,' tends to put the client on the defensive; option C is false reassurance and a value judgment that shuts down communication; option B shifts the topic prematurely and overlooks the client's immediate needs.
✦ 台美臨床差異
美台護理教育均重視溝通技巧，在台灣臨床高壓環境下，護理師常需利用有限時間建立信任，溝通品質直接影響照護成效。