一位末期癌症病人表示希望能與疏遠已久的孩子見面。下列哪項護理師的回答最具治療性？
A nurse is caring for a client with terminal cancer who expresses a desire to see their estranged child before dying. Which response by the nurse is most therapeutic?
- ADo you really think that is a good idea given your past?考慮到您的過往，您真的認為這是個好主意嗎？
- BIt is important to focus on your comfort right now.現在的重點應放在您的舒適度上。
- CYou should not worry about the past at this stage of your life.在人生的這個階段，您不應該擔心過去的事。
- DI will help you explore ways to facilitate this contact if you would like.✓ 正解如果您願意，我會協助您探索促進此聯繫的方法。
在臨終照護（End-of-life care）中，尊重病人的願望與促進心理安適是治療性護理的核心。病人希望見到疏遠已久的孩子，反映了臨終前「完成心願」的心理需求。護理師應展現主動傾聽與協助的意願，協助病人探討如何達成此心願，這能有效減輕病人的遺憾，提升臨終品質。選項 D 正確傳達了護理師的支持角色，而其他選項則帶有審判性或阻斷溝通的意味，違背了護理原則。
In end-of-life care, respecting the patient's wishes and promoting psychosocial comfort are central to therapeutic nursing. The patient's desire to see an estranged child reflects the psychological need to 'complete unfinished business' at the end of life. The nurse should demonstrate active listening and willingness to help, exploring with the patient how this wish might be fulfilled; this can effectively reduce regret and improve the quality of the dying experience. Option D accurately conveys the nurse's supportive role, while the other options carry judgmental tones or shut down communication, contrary to nursing principles.