一位 45 歲憂鬱症病人表示：「我是一個失敗者，沒人在乎我。」護理師最具治療性的回應為何？
A 45-year-old client diagnosed with depression states, 'I am a failure and nobody cares about me.' Which response by the nurse is most therapeutic?
- ATell me more about what makes you feel this way.✓ 正解告訴我更多讓你產生這種感覺的原因。
- BLet's focus on positive things in your life today.讓我們專注於你今天生活中的正面事物。
- CYou have many people who care about you, you just don't see it.有很多人在乎你，只是你沒有察覺而已。
- DEverything will be better if you take your medication.如果你服藥，一切都會變好的。
憂鬱症病人的護理核心在於建立信任關係與促進病人自我表達。當病人提到「我是失敗者」、「沒人在乎我」時，護理師應使用治療性溝通技巧（Therapeutic communication），如「開放式提問」（Tell me more），引導病人說出內在感受。這能協助護理師評估其負向認知的深度與自殺風險，並讓病人感受到被傾聽，而非急於辯論或轉移焦點。
The core of caring for a client with depression is establishing trust and promoting self-expression. When the client says, 'I am a failure' or 'nobody cares about me,' the nurse should use therapeutic communication techniques such as open-ended questioning ('Tell me more') to encourage the client to express inner feelings. This helps the nurse assess the depth of negative thinking and the risk of suicide, and allows the client to feel heard rather than argued with or redirected.