護理師照顧一位表達絕望感的末期癌症病人，下列哪句回應最展現治療性溝通？
A nurse is caring for a client with terminal cancer who is expressing feelings of hopelessness. Which statement by the nurse best demonstrates therapeutic communication?
- AEverything will be okay; we have excellent pain management一切都會沒事的；我們有優良的疼痛管理
- BYou seem to be going through a very difficult time; would you like to talk about it?✓ 正解您似乎正經歷非常困難的時期；您想談談嗎？
- CHave you considered talking to a hospital chaplain?您有考慮過與醫院牧師談話嗎？
- DDon't worry, many people find peace during this stage別擔心，許多人在這個階段能找到平靜
治療性溝通的核心在於接納個案情緒並提供傾聽空間。選項B運用了觀察與開放式問句，允許個案表達內心感受。選項D與A屬於虛假的安慰，否認了個案的真實體驗；選項C雖為資源提供，但先於情緒探討提出，會顯得過於草率而未同理對方當下的孤獨感。
The core of therapeutic communication is to accept the client's emotions and provide space for listening. Option B uses observation and an open-ended question, allowing the client to express inner feelings. Options D and A are false reassurance, denying the client's lived experience; option C, although offering a resource, comes before exploration of emotions and seems hasty and lacking empathy for the client's current sense of loneliness.
在美國文化中，強調個案自主權與直接的情緒表達；台灣臨床常因受儒家文化影響，較為委婉，但現代護理教育已逐漸向西方同理溝通模型靠攏。