一位 28 歲廣泛性焦慮症個案主訴對生活各層面不斷感到憂慮，說道：「我無法停止思考所有可能變糟的事。」護理師採取何種治療性溝通最合適？
A 28-year-old client with generalized anxiety disorder presents to the clinic with reports of constant worry about multiple life domains. The client states, 'I just can't stop thinking about everything that could go wrong.' Which therapeutic response by the nurse is most appropriate?
- AEncourage the client to describe their feelings in more detail.✓ 正解鼓勵個案更詳細地描述其感受。
- BAsk the client why they feel this way.詢問個案為何會有此感覺。
- CTell the client that everything will be fine.告訴個案一切都會沒事的。
- DSuggest that the client avoid thinking about these issues.建議個案避免思考這些問題。
治療性溝通應著重於鼓勵個案表達情緒，協助釐清焦慮的內容。選項 A 運用「探索」技巧，能幫助個案自我察覺。A 為虛假保證，會阻斷溝通；B 詢問「為什麼」帶有質問意味，常造成防衛；D 建議逃避問題並非解決焦慮的建設性方式。
Therapeutic communication should encourage the client to express emotions and clarify the content of anxiety. Option A uses the technique of exploration to help self-awareness. Option C is false reassurance and blocks communication; option B's 'why' has a judgmental tone causing defensiveness; option D advising avoidance is not a constructive way to address anxiety.
美台護理教育均強調治療性溝通技巧，但台灣臨床環境常因護病比過高而壓縮聆聽時間。