— 心理社會完整性 · MEDIUM · SATA —
護理師訪談一位剛被診斷為末期疾病的病人，哪些回應展現了治療性溝通技巧？（選所有適合的）
A nurse is interviewing a client recently diagnosed with terminal illness. Which of the following responses by the nurse demonstrates therapeutic communication? (Select all that apply.)
- AIt sounds like you are feeling overwhelmed by this news✓ 正解聽起來您對這個消息感到不知所措
- BEverything happens for a reason, keep a positive attitude凡事都有其原因，請保持積極的態度
- CTell me more about what concerns you the most right now✓ 正解請告訴我，目前讓您最擔憂的是什麼
- DYou have a great medical team that will take care of everything您有一位很棒的醫療團隊會處理一切
- EIt seems like you have many questions about your care plan✓ 正解看來您對您的照護計畫有許多疑問
— Explanation · 中文詳解 —
治療性溝通重點在於反映感受、鼓勵表達與澄清需求。A、C、E 選項分別展現了同理心、探索性詢問與觀察反映，能鼓勵病人深入表達內心衝突。B 與 D 為「虛假安撫」與「否定感受」，會阻斷病人表達情緒的管道，屬於非治療性溝通。
Therapeutic communication centers on reflecting feelings, encouraging expression, and clarifying needs. Options A, C, and E demonstrate empathy, exploratory questioning, and observational reflection respectively, encouraging deeper expression of inner conflict. B and D are false reassurance and dismissal of feelings; they block emotional expression and are non-therapeutic.
✦ 台美臨床差異
美國護理教育極度強調「反映與同理」，台灣臨床則常受限於時效，傾向提供資訊性的衛教而非深度心理溝通。