— 心理社會完整性 · EASY · MCQ —
護理師正在將一位病人收納至精神科病房，病人說：「我不該來這裡，我不是瘋子。」最恰當的初步回應是什麼？
A nurse is admitting a client to a psychiatric unit. The client states, 'I don't belong here. I'm not crazy.' What is the most appropriate initial response?
- A'We all have our bad days.'我們每個人都有糟糕的日子。
- B'This unit is for people who need support.'這個單位是為需要支援的人設立的。
- C'Tell me more about what makes you feel you don't belong here.'✓ 正解告訴我更多讓你覺得自己不屬於這裡的原因。
- D'You are here because the doctor thinks you need help.'你之所以在這裡，是因為醫生認為你需要幫助。
— Explanation · 中文詳解 —
在精神科護理中，建立治療性人際關係（Therapeutic Relationship）的首要步驟是展現接納與同理心。病人表達「我不該來這裡」反映了對住院的抗拒與防衛心理。護理師應採用開放式提問（Open-ended questions），鼓勵病人表達其主觀感受，而非直接反駁或使用權威式語言，這樣有助於緩解病人的焦慮並建立信任感。
Establishing a therapeutic relationship begins with demonstrating acceptance and empathy for the client's feelings of resistance or denial. Using an open-ended question encourages the client to express their concerns, which validates their experience and helps build trust more effectively than minimizing statements or confrontational responses.