護理師照顧一位對診斷感到憤怒的末期癌症病人。下列哪項護理行動最合適？
A nurse is caring for a client with terminal cancer who is expressing anger about the diagnosis. Which nursing action is most appropriate?
- ALeave the client alone to let them vent their frustrations privately.讓病人獨處，以便他們私下宣洩挫折感。
- BAcknowledge the client's anger and provide a safe space to talk.✓ 正解認可病人的憤怒情緒，並提供安全的空間進行溝通。
- CSet firm boundaries regarding the client's outbursts.針對病人的爆發行為設定嚴格的界線。
- DExplain that anger is a normal part of the grieving process.解釋憤怒是哀傷過程中的正常部分。
面對哀傷過程中的憤怒，護理師應提供非評判性的環境。選項 B 表達了對病人情緒的認可，並展現願意陪伴的態度。選項 D 雖然在理論上正確，但在病人憤怒當下，直接說教可能會被視為防衛。選項 A 會導致隔離感，選項 C 對於緩解情緒幫助不大，除非有安全風險。
When facing anger during the grieving process, the nurse should provide a nonjudgmental environment. Option B expresses acknowledgment of the client's emotions and demonstrates a willingness to remain present. While option D is theoretically correct, directly explaining this to the angry client may be perceived as defensive. Option A may lead to feelings of isolation, and option C is of limited value in easing emotions unless there is a safety risk.
美國護理重視情緒支持與陪伴，台灣安寧照護中常有社工師介入，護理師職責較重於症狀控制。