— 心理社會完整性 · EASY · MCQ —
一位失去配偶的喪親病人表示：「我不知道沒有他我該怎麼過下去。」哪項回應最具治療性？
A nurse is caring for a client who is mourning the loss of a spouse. The client states, 'I just don't know how to go on without them.' What is the most therapeutic response?
- AIt will take time, but you will eventually feel better.這需要時間，但你最終會好起來的。
- BHave you considered joining a support group?你有考慮過參加支持團體嗎？
- CTell me more about how you are feeling right now.✓ 正解告訴我你現在的感覺。
- DYou have family members who still need you.你還有需要你的家人。
— Explanation · 中文詳解 —
治療性溝通應採用開放式問句以鼓勵病人表達感受。A 屬於安慰性的空話（Cliché）；D 則是移轉重點，否定病人的悲傷；B 雖然有意義，但過早提供建議會阻斷當下的情感交流。傾聽與允許表達是哀傷護理的核心。
Therapeutic communication should use open-ended questions to encourage the client to express their feelings. Option A is a comforting cliché; option D deflects the focus and invalidates the client's grief; option B, while meaningful, offers advice prematurely and shuts down the present emotional exchange. Listening and allowing expression are at the heart of grief care.
✦ 台美臨床差異
美國護理師在哀傷衛教上較著重心理諮商技巧，台灣護理師常受限於臨床人力，常由宗教或社工介入，護理師多專注於生理舒適。