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心理社會完整性 · EASY · MCQ

護理師照護一位處於哀悼「討價還價」階段的病人。病人哪句話支持此判斷?

A nurse is caring for a client who is in the 'bargaining' stage of grief. Which statement by the client supports this?

  • AThe doctors made a mistake with my diagnosis.
    醫生對我的診斷有誤。
  • BLeave me alone; I don't want to talk to anyone.
    讓我一個人待著;我不想和任何人說話。
  • CIf I can just live to see my daughter graduate, I'll be happy.✓ 正解
    如果我能活著看到我女兒畢業,我就會很高興。
  • DI can't believe this is happening to me.
    我不敢相信這發生在我身上。
Explanation · 中文詳解

伊莉莎白·庫伯勒-羅斯(Elisabeth Kübler-Ross)提出的哀悼五階段(Five Stages of Grief)模型,描述了人們在面對死亡或重大失落時可能經歷的情緒反應。這五個階段包括否認(Denial)、憤怒(Anger)、討價還價(Bargaining)、憂鬱(Depression)和接受(Acceptance)。這些階段並非線性,人們可能會在不同階段之間來回移動,或跳過某些階段。 「討價還價(Bargaining)」階段的特點是病人試圖與命運、上帝或其他更高的力量進行某種「交易」,以期延緩或改變不可避免的結果。他們可能會承諾改變自己的行為,或做出某種犧牲,以換取更多時間或減輕痛苦。這種行為通常源於對失去的無力感和對現實的抵抗。正確答案 C 的描述:「如果我能活著看到我女兒畢業,我就會很高興(If I can just live to see my daughter graduate, I'll be happy.)」清楚地表達了這種「如果…我就會…」的交易心態,試圖以一個條件(活著看到女兒畢業)來換取內心的平靜或延緩死亡,這正是討價還價階段的典型表現。護理師識別病人所處的哀悼階段,有助於提供更具同理心和適當的支持性照護。

The Five Stages of Grief model proposed by Elisabeth Kübler-Ross describes the emotional reactions that people may experience when facing death or major loss. The five stages are denial, anger, bargaining, depression, and acceptance. These stages are not linear; individuals may move back and forth between them or skip certain stages entirely. The bargaining stage is characterized by the client's attempt to make a 'deal' with fate, God, or another higher power in the hope of postponing or changing an inevitable outcome. The client may promise to change behavior or make a sacrifice in exchange for more time or relief of suffering. This behavior typically arises from a sense of helplessness in the face of loss and resistance to reality. The correct answer, C—'If I can just live to see my daughter graduate, I'll be happy.'—clearly expresses this 'if . . . then . . .' bargaining mindset, attempting to trade one condition (living to see the daughter graduate) for inner peace or a delay of death. This is the classic manifestation of the bargaining stage. Recognizing the stage of grief in which the client currently finds themself helps the nurse provide more empathetic and appropriate supportive care.

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