— 心理社會完整性 · EASY · MCQ —
一位高齡癌症末期個案對護理師說：「我還沒準備好面對死亡。」下列何種護理師的回應最具治療性？
A nurse is caring for an older adult client who has recently been diagnosed with terminal cancer. The client says, 'I am not ready to die yet.' Which response by the nurse is the most therapeutic?
- ATell me more about what you are experiencing right now✓ 正解告訴我你現在正在經歷什麼
- BDon't worry, everyone feels that way at first別擔心，每個人一開始都會有這種感覺
- CYou have had a long life, you should be grateful你已經度過漫長的一生，你應該要心存感激
- DWould you like me to call the hospital chaplain?你需要我叫醫院牧師來嗎？
— Explanation · 中文詳解 —
治療性溝通的核心在於鼓勵個案表達感受，並展現護理師的接納與傾聽。A 選項採取開放式提問，能引導個案探索內心恐懼。B 與 C 選項屬於否定感受的反應，會中斷溝通。D 選項雖可能有用，但並非當下回應個案情緒表達的最佳方式。
The core of therapeutic communication is encouraging the client to express feelings and demonstrating the nurse's acceptance and listening. Option A uses an open-ended question that guides the client to explore inner fears. Options B and C dismiss feelings and disrupt communication. Option D may be useful eventually, but is not the best immediate response to the client's emotional expression.
✦ 台美臨床差異
台美護理師皆強調傾聽，但美國更強調靈性關懷師（Chaplain）的整合性角色。