— 心理社會完整性 · HARD · MCQ —
病人表示：「我丟了工作，所以我是一個失敗者。」護理師如何運用認知行為治療中的「重新構框」技巧來回應？
A client states, 'I am a failure because I lost my job.' Which nursing response uses the cognitive-behavioral technique of reframing?
- ATell me more about the circumstances that led to your job loss.告訴我更多導致你失業的情況。
- BIt is normal to feel upset when you lose your job.失業時感到難過是正常的。
- CWhy do you think that losing your job makes you a failure?你認為失業為何讓你覺得自己是個失敗者？
- DLosing your job is a difficult event, but does it define your entire identity?✓ 正解失業是一件困難的事，但這是否定義了你的全部身份？
— Explanation · 中文詳解 —
重新構框（Reframing）意在引導病人將負面認知轉化為較客觀、具韌性的視角。D 選項將「失業」這個單一事件與「個人自我價值」進行區隔，挑戰了病人的災難化思考。C、A 選項偏向探討式，B 選項僅是同理支持，未具備認知調整的功能。
Reframing is a cognitive-behavioral technique that helps clients view a situation from a different, often more positive or realistic perspective. By asking if losing a job defines their entire identity, the nurse challenges the client's catastrophic thinking and separates the event from their self-worth. This approach encourages a more balanced cognitive appraisal rather than validating negative emotions or gathering irrelevant details.
✦ 台美臨床差異
美國護理師常受訓使用 CBT 技巧；台灣護理教育中 CBT 屬於進階職能，臨床常由心理師主導。