一位末期癌症個案對護理師發怒,抱怨:「為什麼你們給藥這麼慢?」護理師應如何回應?
A client is diagnosed with terminal cancer and expresses anger toward the nursing staff, saying, 'Why are you taking so long with my medication?' How should the nurse respond?
- AAcknowledge the client's frustration and ask about their feelings✓ 正解確認病人的挫折感並詢問其感受
- BExplain that the unit is understaffed解釋病房人力不足
- CTell the client that anger is a normal stage of grief告訴病人憤怒是正常的哀傷階段
- DLimit interaction with the client to necessary tasks only僅在必要任務時與病人互動
憤怒是臨終悲傷過程中的正常反應,個案藉由指責護理人員來表達對失去健康與控制感的不安。護理師應展現同理心,協助其釋放情緒而非進行防禦性辯解。透過確認感受來建立溝通,能減少醫病緊張關係,協助個案調適心理壓力。
Anger is a normal reaction in the end-of-life grieving process; the client expresses anxiety over the loss of health and control by directing accusations at the nursing staff. The nurse should demonstrate empathy and help the client release these emotions rather than respond defensively. Validating feelings as a means of establishing communication reduces tension in the nurse-client relationship and helps the client cope with psychological stress.
美國非常強調治療性溝通(Therapeutic Communication),台灣護理師則常因工作負荷過重,傾向快速化解衝突而非深究原因。