一位 45 歲焦慮症患者表示害怕失控。護理師應使用哪種治療性溝通技巧？
A 45-year-old client diagnosed with generalized anxiety disorder expresses fear of losing control. What is the most appropriate therapeutic communication technique for the nurse to utilize?
- AAsking the client to explain exactly why they feel this way要求病人解釋為何會有此感覺
- BReassuring the client that everything will be fine向病人保證一切都會沒事的
- CEncouraging the client to describe the feelings they are experiencing✓ 正解鼓勵病人描述其正在經歷的感受
- DTelling the client to focus on something else to distract themselves告訴病人專注於其他事物以分散注意力
焦慮症病人在面對失控感時，最需要的是被傾聽與確認其感受。治療性溝通（Therapeutic Communication）的核心是「開放式問句（Open-ended questions）」，鼓勵病人描述內在體驗，而非給予空洞的保證。透過描述感受，護理師能協助病人將模糊的焦慮具體化，進而分析焦慮源，而非透過轉移注意力來壓抑情緒。
Clients with anxiety disorders who feel a loss of control most need to be heard and to have their feelings validated. The core of therapeutic communication is the use of open-ended questions, which encourage the client to describe their internal experience rather than receive empty reassurance. By describing their feelings, the client can help the nurse make vague anxiety more concrete and identify its source, rather than suppressing emotion through distraction.