一位剛確診末期癌症的病人說：「我不懂為什麼會發生在我身上？我一直都很好。」護理師最適當的反應為何？
A nurse is interviewing a client recently diagnosed with terminal cancer. The client states, 'I don't know why this is happening to me; I have always been a good person.' Which response by the nurse is most appropriate?
- ATell me more about how you are feeling right now✓ 正解告訴我你現在的感覺
- BYou should focus on your treatment plan instead of questioning why你應該專注於你的治療計劃，而不是質疑為什麼
- CEverything happens for a reason凡事必有原因
- DIt is normal to feel like this, but you need to stay strong for your family有這種感覺是正常的，但你必須為了家人保持堅強
此題涉及庫伯勒-羅絲（Kübler-Ross）悲傷階段中的憤怒與討價還價情緒。護理師需運用開放式問句鼓勵病人表達內心感受，展現護理的臨終關懷精神。C 選項包含迷信色彩，B 與 D 選項均帶有說教意味，忽視了病人的悲傷進程，可能導致病人封閉溝通意願。
This question relates to the anger and bargaining stages of the Kübler-Ross grief model. The nurse should use open-ended questions to encourage the patient to express inner feelings, reflecting the spirit of end-of-life care. Option C carries superstitious overtones, while options B and D are preachy and dismissive of the patient's grieving process, which may cause the patient to withdraw from communication.
美國臨終關懷強調尊重病人憤怒，台灣文化有時會傾向勸解，護理師需在專業與文化期待間取得平衡。