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心理社會完整性 · MEDIUM · MCQ

一位病人正處於急性哀傷反應中。哪項護理介入最適當?

A client is experiencing an acute grief reaction. Which nurse intervention is the most appropriate?

  • AMinimize contact to give them space
    減少接觸以給予其空間
  • BFocus the conversation on the future
    將對話焦點放在未來
  • CEncourage the client to talk about the deceased person✓ 正解
    鼓勵病人談論逝者
  • DTell them to keep busy so they don't cry
    告訴他們保持忙碌以免哭泣
Explanation · 中文詳解

急性哀傷(Acute grief)是失落後的正常情緒反應。護理核心在於提供一個安全的空間,讓病人能表達並整合失落的感受(venting and integration)。鼓勵談論逝者能幫助病人面對現實,這是哀傷輔導(Grief counseling)的基石。反之,忽視、壓抑或過早轉移話題,都會阻礙哀傷過程的正常發展,可能導致複雜性哀傷。護理師應運用治療性溝通(Therapeutic communication)技巧,展現同理心,而非強迫病人遵循特定的時間表進行哀傷。

Acute grief is a normal emotional reaction to loss. The core of nursing care is to provide a safe space in which the client can express and integrate feelings of loss (venting and integration). Encouraging the client to talk about the deceased helps them face reality and is the cornerstone of grief counseling. Conversely, ignoring, suppressing, or prematurely changing the subject obstructs the normal grieving process and may lead to complicated grief. The nurse should use therapeutic communication and demonstrate empathy, rather than forcing the client to follow a specific timetable for grieving.

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