護理師照顧一位喪偶的個案,個案說:「我不明白為什麼上帝在他這麼年輕時就帶走他。」護理師最佳的回應為何?
A nurse is caring for a client who is mourning the loss of a spouse. The client states, 'I don't know why God took him when he was so young.' What is the best response by the nurse?
- AEverything happens for a reason; you will eventually heal.凡事皆有其原因;你最終會康復。
- BHe is in a better place now, free from suffering.他現在處於更好的地方,擺脫了痛苦。
- CTell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺。
- DIt is normal to feel angry when you are grieving.哀悼時感到憤怒是正常的。
喪親個案常透過宗教或哲學質疑來表達憤怒與悲傷,護理師應使用開放式問句鼓勵情感宣洩。選項 C 能引導個案深入挖掘內心感受,提供情緒出口;其他選項如否定個案感受或給予空洞的安慰,皆會中斷治療性溝通,使個案封閉心靈。
Bereaved clients often express anger and sorrow through religious or philosophical questioning, and the nurse should use open-ended questions to encourage emotional expression. Option C guides the client to explore inner feelings more deeply and provides an emotional outlet; other options, such as dismissing the client's feelings or offering empty reassurance, disrupt therapeutic communication and cause the client to close off.
台灣文化受佛教/道教影響較深,護理師常需處理更複雜的文化禁忌,與美國強調個案個別化哀傷處理有所不同。