護理師在臨床互動中採取哪項措施展現了「治療性溝通」？
Which of the following actions by a nurse demonstrates the use of 'therapeutic communication' during a clinical interaction?
- AChanging the subject when the client starts to cry當案主開始哭泣時轉移話題
- BGiving advice to the client based on personal experience基於個人經驗給予案主建議
- CUsing broad opening statements to encourage the client to talk✓ 正解使用寬鬆的開放式陳述以鼓勵案主說話
- DAsking 'why' questions to get to the root of the problem詢問『為什麼』的問題以找到問題的根源
治療性溝通的核心在於引導病人說出心聲，而非填滿空間。使用寬廣的開場白（如「今天有什麼想討論的嗎？」）能給予病人掌控感。A 选项給建議會造成依賴；C 选项改變話題會否定病人的情緒表達；D 选项「為什麼」會讓病人感到被質問，易引起防衛心。
The core of therapeutic communication is to guide the client to express their inner thoughts rather than fill the silence. Using broad opening statements (such as "Is there anything you'd like to discuss today?") gives the client a sense of control. Option B (giving advice) fosters dependence; option A (changing the subject) invalidates the client's emotional expression; option D (asking "why") makes the client feel interrogated and easily triggers defensiveness.
美國護理教育極度強調溝通技術，台灣教育亦同步，但臨床實務上護理師因工作量繁忙，溝通時間常被精簡。