— 心理社會完整性 · MEDIUM · MCQ —
一位重度憂鬱症病人表示：「我是家人的負擔。」護理師最具治療性的回應為何？
A client with major depressive disorder reports 'I am a burden to my family.' Which response by the nurse is most therapeutic?
- AYour family loves you very much.你的家人非常愛你。
- BIt sounds like you are feeling very discouraged right now.✓ 正解聽起來你現在感到非常沮喪。
- CWhy do you feel that you are a burden?你為什麼覺得自己是個負擔？
- DYou shouldn't say things like that; you have so much to live for.你不應該那樣說；你還有許多值得活下去的理由。
— Explanation · 中文詳解 —
治療性溝通應採用「反映感受」（reflecting feelings）技巧。回應中需要肯定病人當下的痛苦感，而非過度正面地否定病人的感受。選項 B 同理了病人的沮喪，有助於建立信任關係並鼓勵後續分享。
Therapeutic communication should use the technique of reflecting feelings. The response should acknowledge the client's current distress rather than overly positively dismiss it. Option B empathizes with the client's sense of discouragement, helps build trust, and encourages the client to share more.
✦ 台美臨床差異
台灣文化傾向於給予建議或鼓勵；美式護理強調保持專業距離並促進自主權與感受表達。