一位喪偶的個案向護理師表示：「我不知道沒有他我該怎麼辦。」護理師哪項回應具有治療性？
A nurse is caring for a client who is grieving the loss of a spouse. The client states, 'I don't know how I can go on without them.' Which response by the nurse is therapeutic?
- AEverything happens for a reason凡事發生必有其原因
- BTell me more about what you are feeling right now✓ 正解請多告訴我您現在的感受
- CHave you considered joining a support group?您有考慮加入支持團體嗎？
- DYou will be okay in time隨著時間過去，您會沒事的
面對喪失親人的病人，護理師提供支持性照護時，治療性溝通（Therapeutic Communication）扮演著核心角色。喪偶之痛是一種深刻而複雜的悲傷反應，病人可能會經歷否認、憤怒、討價還價、憂鬱和接受等不同階段。在悲傷初期，病人可能會感到極度失落、無助，並表達出對未來的不確定性。 此時，護理師的回應應著重於鼓勵病人表達內心的感受，並傳達理解與同理心。避免使用空泛的安慰語句或過早提供建議，因為這些可能讓病人感覺自己的情感被輕視或不被理解。提供一個開放、不帶批判的空間，讓病人能夠自由地傾訴，是幫助他們開始處理悲傷過程的關鍵。這不僅能建立良好的護病關係，也能讓護理師更深入了解病人的需求，進而提供更具針對性的支持。
For a grieving client, therapeutic communication is central to supportive care. Loss of a spouse is a profound and complex grief reaction; the client may move through denial, anger, bargaining, depression, and acceptance. Early in grief, clients may feel lost, helpless, and uncertain about the future. The nurse's response should focus on encouraging expression of feelings and conveying empathy. Avoid clichés or premature advice, which can make the client feel dismissed. Offering an open, non-judgmental space allows the client to share freely, which is key to beginning the grief work, building rapport, and identifying needs for targeted support.