護理師照顧一位末期癌症病人，病人表達感到絕望。下列護理師的回應何者最適當？
A nurse is caring for a client with terminal cancer who expresses feelings of hopelessness. Which statement by the nurse is most appropriate?
- AHave you considered speaking with the chaplain about your feelings?您是否考慮過與牧師談論您的感受？
- BIt is normal to feel this way, so just try to stay positive.有這種感覺是正常的，所以試著保持樂觀。
- CEverything will be taken care of by the medical team.醫療團隊會處理一切。
- DTell me more about what is making you feel this way right now.✓ 正解告訴我更多讓您現在有這種感覺的原因。
在照護末期病人時，治療性溝通（Therapeutic communication）的核心在於傾聽與鼓勵病人表達感受，而非過早提供建議或淡化其情緒。護理師應使用開放式問句（Open-ended questions），讓病人主導對話內容。選項 D 展現了護理師的同理心與參與感，有助於建立信任關係，幫助病人處理絕望感。
When caring for terminally ill clients, the core of therapeutic communication is to listen and encourage the client to express feelings rather than to offer advice prematurely or minimize the client's emotions. The nurse should use open-ended questions and let the client lead the content of the conversation. Option D demonstrates empathy and engagement, helping to build a trusting relationship and supporting the client in coping with feelings of hopelessness.