一位 45 歲末期病患表達覺得自己是家人的負擔。護理師下列哪項治療性回應最為合適？
A 45-year-old client with a terminal diagnosis expresses feeling like a burden to their family. Which therapeutic response by the nurse is most appropriate?
- AEverything will be fine, try to focus on your recovery.一切都會沒事的，試著專注於你的康復。
- BYou should not feel that way, your family loves you very much.你不應該有那種感覺，你的家人非常愛你。
- CHave you talked to your children about these feelings yet?你已經跟你的孩子談過這些感受了嗎？
- DTell me more about what makes you feel like a burden to your family.✓ 正解告訴我更多讓你覺得自己是家人負擔的原因。
治療性溝通的核心在於引導病人探索其內在感受，而非否認或提供廉價的安慰。選擇 A 能鼓勵病人具體陳述感受，協助其釋放壓力。B 和 A 屬於錯誤的溝通技巧，否定了病人的情感體驗；D 轉移了焦點，未處理病人當下的情緒需求。
Therapeutic communication focuses on guiding the client to explore their inner feelings rather than denying them or offering false reassurance. Option D invites the client to articulate specific feelings and helps relieve emotional pressure. Options B and A are nontherapeutic communication techniques that invalidate the client's emotional experience; option C shifts the focus away from the client's immediate emotional needs.
美國護理重視由護理師進行情緒支持與轉介；台灣醫療體系中，此類心理支持常被視為心理師或社工師業務，護理師常因忙碌而忽略。