一位 45 歲的末期診斷病患表示自己對家人來說是個負擔。護理師下列哪種回應最能展現治療性溝通？
A 45-year-old client with a terminal diagnosis expresses feeling like a burden to their family. Which response by the nurse best demonstrates therapeutic communication?
- ATell me more about what makes you feel like a burden to your family.✓ 正解告訴我更多讓你覺得自己是家人負擔的原因。
- BWould you like me to call the hospital chaplain to talk with you?你需要我打電話給醫院牧師和你談談嗎？
- CYou have been a great parent, so you shouldn't feel that way.你一直是很棒的父母，所以不應該有那種感覺。
- DDo not worry, your family loves you very much.別擔心，你的家人非常愛你。
治療性溝通的核心在於鼓勵病患表達內心真實感受。選項 A 運用開放式問句與澄清技術，探討病患產生「負擔感」的具體情境與情緒來源。選項 D 和 C 使用了虛假的保證或否定病患感受，會切斷溝通；選項 B 雖然出於善意，但過早跳躍到轉介諮商，未先對病患情緒進行同理與探索。
The core of therapeutic communication is encouraging the client to express their true inner feelings. Option A uses open-ended questioning and clarification to explore the specific situations and emotional sources of the client's sense of being a burden. Options D and C provide false reassurance or deny the client's feelings, which cuts off communication; option B, although well-intentioned, jumps too quickly to referral for counseling without first showing empathy and exploring the client's emotions.
美國護理教育極度強調治療性溝通與護理過程的連結；台灣受限於臨床人力比，護理師常傾向解決生理問題而非深究心理感受。