護理師與一位感到絕望且自我價值感低落的個案進行會談。哪句回應最能體現治療性溝通？
A nurse is interviewing a client who reports feelings of hopelessness and worthlessness. Which statement by the nurse best demonstrates therapeutic communication?
- AHave you considered talking to a support group about this?你有考慮過就此問題與支持團體討論嗎？
- BWhy do you feel that your life has no meaning?你為什麼覺得你的生命沒有意義？
- CIt sounds like you are experiencing a very difficult time right now✓ 正解聽起來你現在正經歷非常困難的時期
- DDon't feel that way, you have so much to live for不要那樣想，你還有許多值得活下去的理由
治療性溝通的核心在於展現同理心（Empathy）與促進個案自我表達。面對情緒低落的個案，護理師應採用反映感受的技巧，協助個案覺察並驗證其情緒，而非急於給予建議或否定其感受。選項 C 正確地運用了「反映（Reflection）」技巧，認可了個案當下的痛苦，營造出安全且受支持的溝通氛圍，這是護理師建立治療性關係的第一步。
The core of therapeutic communication is demonstrating empathy and facilitating the client's self-expression. When facing a client who feels depressed, the nurse should use techniques that reflect feelings to help the client recognize and validate their emotions, rather than rushing to give advice or deny what they feel. Option C correctly uses the reflection technique, acknowledging the client's current distress and creating a safe, supportive communication environment — the first step in establishing a therapeutic relationship.