— 心理社會完整性 · MEDIUM · SATA —
護理師正在會談一位剛被診斷為末期疾病的個案。哪些回應展現了治療性溝通？（選所有適合的）
A nurse is interviewing a client recently diagnosed with a terminal illness. Which responses by the nurse demonstrate therapeutic communication? (Select all that apply.)
- AIt sounds like you are feeling overwhelmed by this news.✓ 正解這消息讓你感到不知所措。
- BYou should try to stay positive because stress makes you worse.你應該試著保持樂觀，因為壓力會讓情況變糟。
- CTell me more about what you are thinking regarding your prognosis.✓ 正解告訴我更多你對預後的想法。
- DEverything will be fine; the doctors are doing their best.一切都會沒事的；醫生們正在盡力而為。
- EI can see that this is a difficult time for you.✓ 正解我看得到這是一段艱難的時期。
— Explanation · 中文詳解 —
治療性溝通的重點在於同理心、反映情緒及開放式詢問。A（反映情緒）、C（開放式詢問）、E（同理心觀察）皆能協助個案抒發感受。B 與 D 屬於「虛假保證」或「否定情緒」，這會阻斷個案的表達意願，讓個案感到不被理解。
Therapeutic communication emphasizes empathy, reflection of feelings, and open-ended questions. A (reflection), C (open-ended question), and E (empathic observation) all encourage the client to express feelings. B and D are false reassurance or dismissal of emotions, which block communication and make the client feel misunderstood.
✦ 台美臨床差異
美式護理教育非常重視溝通技巧的結構化考試；台灣因工作負荷量大，常縮短會談時間，偏向任務導向式的溝通。