— 心理社會完整性 · MEDIUM · MCQ —
一位重度憂鬱症個案拒絕參與團體治療。下列哪項護理師的回應最具有治療性？
A client diagnosed with major depressive disorder refuses to participate in group therapy. Which response by the nurse is most therapeutic?
- AIt is important for your recovery to be around others為了你的復原，與他人在一起很重要。
- BI will inform the doctor that you are not cooperating我會通知醫師你沒有配合。
- CYou must attend to meet the facility requirements你必須參加以符合機構規定。
- DTell me more about what concerns you regarding the group✓ 正解告訴我更多關於你對團體的擔憂。
— Explanation · 中文詳解 —
治療性溝通的核心在於開放式的探討與同理。透過詢問個案對團體的擔憂，護理師能了解個案拒絕的原因，建立治療性聯盟。強迫個案、說教或威脅通報醫師皆會造成防禦心，不利於 therapeutic relationship 的建立。
Therapeutic communication centers on open-ended exploration and empathy. Asking about the client's concerns regarding the group helps the nurse understand the reason for refusal and build a therapeutic alliance. Coercion, lecturing, or threatening to report the client to the physician all create defensiveness and undermine the therapeutic relationship.
✦ 台美臨床差異
台美均重視治療性溝通，但台灣臨床護理師因業務量大，常縮短此類深入對話時間。