— 心理社會完整性 · EASY · MCQ —
一位 45 歲末期診斷的病患詢問護理師：「為什麼這種事會發生在我身上？我不想死。」護理師採取哪種回應最適當？
A 45-year-old client with a terminal diagnosis asks the nurse, 'Why is this happening to me? I don't want to die.' Which response by the nurse is most appropriate?
- AThe physician will be here shortly to explain your prognosis.醫師很快會來解釋您的預後情況。
- BHave you considered talking to a priest or chaplain?您有考慮過與神父或牧師談話嗎？
- CDo not worry; everything will be okay.別擔心；一切都會沒事的。
- DTell me more about what you are feeling right now.✓ 正解告訴我您現在的感覺。
— Explanation · 中文詳解 —
面對死亡焦慮，護理師應運用治療性溝通技巧（therapeutic communication），鼓勵病人表達感受，而非給予虛假的保證或將壓力轉移給他人。選項 D 展現同理心並開放式探討情緒，有助於情緒宣洩與心理支持。
In the face of death anxiety, the nurse should use therapeutic communication to encourage the client to express feelings rather than offering false reassurance or deflecting to others. Option D shows empathy and uses an open-ended invitation that helps the client process emotions and provides psychological support.
✦ 台美臨床差異
台美兩地在護理教育中皆強調治療性溝通，但在台灣高壓臨床環境中，護理師常因時間限制被迫採用選項 A 的方式。