— 心理社會完整性 · MEDIUM · MCQ —
一位喪偶的病患對護理師表示：「我不知道以後該如何獨自生活下去。」下列哪項護理師的反應最具治療性？
A nurse is caring for a client who recently lost a spouse. The client states, 'I don't know how I am going to go on alone.' Which response by the nurse is most therapeutic?
- ATell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺。
- BEverything will be alright in time.時間久了，一切都會好起來的。
- CYou should consider joining a support group for widows.你應該考慮加入寡婦支持團體。
- DIt is normal to feel this way; you will eventually heal.有這種感覺是正常的；你最終會康復的。
— Explanation · 中文詳解 —
鼓勵表達感受是治療性溝通的核心，能幫助病患處理哀傷過程。選項 A 採用開放式問句，引導病人探討當下情緒，而非封閉或過早提供建議。選項 D 與 B 屬於「虛假的保證」，會阻斷病人的悲傷宣洩，不利於心理健康。
Encouraging the patient to express feelings is the core of therapeutic communication and helps the patient work through grief. Option A uses an open-ended question to guide the patient to explore current emotions, rather than closing off the discussion or offering premature advice. Options D and B represent "false reassurance," which blocks the patient's grief expression and is detrimental to psychological well-being.
✦ 台美臨床差異
美國護理教育極度強調治療性溝通的技術，台灣則因文化較傾向於給予具體建議。