— 心理社會完整性 · EASY · MCQ —
一位末期癌症病人正經歷預期性悲傷，下列哪一句護理師的評語最能體現治療性溝通？
A client with terminal cancer is experiencing anticipatory grief. Which statement by the nurse best demonstrates therapeutic communication?
- AEverything will be taken care of, so you do not need to worry about anything.一切都會處理好的，所以你不需要擔心任何事情。
- BMany people find comfort in their faith during times like these.許多人在這個時候會從信仰中找到安慰。
- CIt is important for you to remain strong for your family members.為了你的家人，你必須保持堅強，這很重要。
- DTell me more about what you are currently feeling as you think about the future.✓ 正解當你在思考未來時，請告訴我你現在的感覺。
— Explanation · 中文詳解 —
治療性溝通的原則在於提供開放式空間，讓病人能自由表達情感，而非給予過早的建議或價值判斷。選項 D 使用了開放式問句，展現同理心並鼓勵病人探索內在感受，有助於情緒的處理與宣洩，而非封閉式或規勸式的對話。
The principle of therapeutic communication is to provide an open space that allows the client to freely express emotions, rather than offering premature advice or value judgments. Option D uses an open-ended question, demonstrates empathy, and encourages the client to explore inner feelings, facilitating emotional processing and release rather than closed-ended or directive dialogue.
✦ 台美臨床差異
美國強調病人自主與情感表達，台灣護理教育中近年也大幅納入治療性溝通技巧訓練，但在傳統文化背景下，家屬常傾向阻止病人討論病情。