— 心理社會完整性 · EASY · MCQ —
一位 45 歲病人被診斷為廣泛性焦慮症，主訴對日常事務感到過度擔憂。護理師應優先採取哪種治療性溝通策略？
A 45-year-old client is diagnosed with generalized anxiety disorder (GAD). The client reports excessive worry about daily tasks. Which therapeutic communication strategy should the nurse use first?
- AAssure the client that everything will be fine向客戶保證一切都會沒事的
- BEncourage the client to talk about their specific feelings✓ 正解鼓勵客戶談論其具體感受
- CAsk the client to explain why they are worried要求客戶解釋擔心的原因
- DSuggest the client distract themselves with activities建議客戶透過活動轉移注意力
— Explanation · 中文詳解 —
治療焦慮的核心是鼓勵病人表達感受，協助其識別焦慮觸發點。C 選項「為什麼」具備指責意味，易導致防衛心；A 為錯誤的保證，會阻斷溝通；D 為逃避處理，非優先步驟。護理師應協助病人連結情緒與認知，提供支持性環境。
The core of treating anxiety is to encourage the client to express feelings, helping them identify anxiety triggers. Option C using 'why' is accusatory and provokes defensiveness; A is false reassurance that blocks communication; D is avoidance and not a priority. The nurse should help the client connect emotions with cognition in a supportive environment.
✦ 台美臨床差異
美國心理護理強調以案主為中心（Client-centered），台灣臨床環境常因時程緊迫，較多採取藥物衛教而非深入心理諮商。