— 心理社會完整性 · EASY · MCQ —
一位剛被診斷出乳癌的病人對護理師說：「我不知道怎麼會發生這種事，我一直都很健康。」護理師哪項回答最具有治療性？
A client newly diagnosed with breast cancer says to the nurse, 'I don't know how this happened. I've always been so healthy.' Which response by the nurse is most therapeutic?
- AIt's hard to accept such a sudden change in your health.✓ 正解要接受健康狀況如此突然的改變是很困難的。
- BAt least you caught it early, and the prognosis is good.至少你發現得早，預後良好。
- CDo you have a family history of breast cancer?你有乳癌的家族史嗎？
- DMany people feel this way when they are first diagnosed.許多人在初次確診時都會有這樣的感覺。
— Explanation · 中文詳解 —
治療性溝通應著重於反映病人的感受並承認其現狀。選項 A 使用了反映性技巧，幫助病人表達情緒。D 選項將感受一般化，會削弱病人的獨特感受；B 選項提供虛假的保證且轉移焦點；C 選項在情緒表達時進行數據收集，不具治療性。
Therapeutic communication should focus on reflecting the client's feelings and acknowledging their current situation. Option A uses a reflective technique to help the client express emotions. Option D generalizes the client's feelings and may diminish their unique experience; option B provides false reassurance and shifts the focus; option C collects data during emotional expression and is not therapeutic.
✦ 台美臨床差異
台美在治療性溝通原則一致，但美國護理師更強調「反映感受」而非「提供建議」。