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心理社會完整性 · EASY · MCQ

護理師照護一位喪偶的病人,病人哪一句話顯示其處於哀傷五階段中的「否認」期?

A nurse is caring for a client who is grieving the loss of a spouse. Which statement by the client indicates that they are in the 'denial' stage of grief?

  • AI still expect to hear his key in the door every evening✓ 正解
    我仍然期望每天晚上都能聽到他的鑰匙插進門鎖的聲音
  • BWhy did this have to happen to him when he was so healthy?
    為什麼在他這麼健康的時候會發生這種事?
  • CI feel so angry at the doctors for not saving him
    我覺得很生氣,怪醫生沒有救活他
  • DI will donate all his belongings to charity tomorrow
    我明天要把他所有的物品捐給慈善機構
Explanation · 中文詳解

否認期的核心表現為無法接受現實的發生,維持生活常態的幻覺。病人仍預期配偶會回家,顯示其心理防衛機制尚未調適到面對喪偶事實。憤怒、討價還價與接受期各有其情緒特徵,如指責醫療人員或迅速處理物品,皆非否認之典型表現。

The core manifestation of the denial stage is the inability to accept the reality of the event, maintaining the illusion of life as normal. The client still expects the spouse to come home, indicating that her psychological defense mechanism has not yet adjusted to the reality of widowhood. Anger, bargaining, and acceptance stages each have their own emotional characteristics, such as blaming healthcare staff or quickly disposing of belongings; none of these are typical of denial.

✦ 台美臨床差異

台灣文化中對喪親反應較為壓抑,護理師需透過觀察非語言行為(如對物品的依戀)來判斷階段。

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