一位末期癌症個案向護理師表示：「我覺得我撐不下去了。」護理師最佳回應為何？
A nurse is caring for a client with terminal cancer who expresses, 'I don't think I can go on like this.' Which response by the nurse is best?
- AWould you like me to call the chaplain for you?您需要我為您聯絡牧師嗎？
- BEverything will be okay soon, just try to rest一切很快就會好轉，請試著休息
- CTell me more about what you are feeling right now✓ 正解告訴我您現在的感覺如何
- DYou are a strong person and you have a great family support您是個堅強的人，而且有很好的家庭支持
此題考驗治療性溝通技巧。面對病人表達絕望時，首要任務是鼓勵其表達內心感受並進行探究（Exploration），而非輕易給予保證或轉移話題。選項 D 是虛假安慰；選項 B 是否定感受的防衛反應；選項 A 雖然重要但應在確認個案感受後再進行。
This question tests therapeutic communication skills. When a client expresses hopelessness, the priority is to encourage the client to express and explore their inner feelings rather than to offer easy reassurance or change the subject. Option D is false reassurance; option B is a defensive response that dismisses the client's feelings; and option A, although important, should be undertaken only after the client's feelings have been acknowledged.
美國護理教育極度重視治療性溝通（Therapeutic Communication），台灣臨床常因時間壓力而傾向採取功能性護理，對心理層面的深度探討較少。