— 心理社會完整性 · EASY · MCQ —
病人說：「我對這次手術壓力好大，萬一我再也醒不來怎麼辦？」護理師哪種回應最能處理病人的心理社交需求？
A client says, 'I'm so stressed about this surgery. What if I never wake up?' Which response by the nurse addresses the client's psychosocial needs?
- AWould you like me to call the hospital chaplain for you?您需要我為您聯絡醫院牧師嗎？
- BDeath from anesthesia is extremely rare these days.現今因麻醉致死的情況極為罕見。
- CYou're afraid that you might not survive the surgery?✓ 正解您擔心自己可能無法度過這次手術？
- DDon't worry, we have the best surgeons in the state.別擔心，我們這裡有全州最好的外科醫師。
— Explanation · 中文詳解 —
選項 C 使用了重述（Restating）或反映（Reflecting）技巧，能開啟進一步對話，讓病人探索其焦慮。D 與 B 提供虛假保證或數據，會阻斷情緒表達；A 雖然是宗教支持，但在此時略顯突兀，應先由護理師處理當下的焦慮感。
Option C uses restating or reflecting techniques, which opens further dialogue and allows the client to explore their anxiety. Options D and B provide false reassurance or statistics that block emotional expression; option A offers spiritual support but is slightly out of place at this moment, as the nurse should first address the client's immediate anxiety.
✦ 台美臨床差異
美國護理教育極度強調「Validation」（確認感受）；台灣臨床則有時會傾向於「專業保證」來安撫病人。