一位 45 歲患有廣泛性焦慮症的個案表現出心悸和顫抖。護理師下列哪種回應最能展現治療性溝通？
A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations and trembling. Which initial response by the nurse best demonstrates the use of therapeutic communication?
- AYou have nothing to be worried about in this safe environment.在這個安全環境中，你沒什麼好擔心的。
- BTake a deep breath and everything will be fine soon.深呼吸，很快就會沒事的。
- CIt sounds like you are feeling very anxious right now.✓ 正解聽起來你現在感到非常焦慮。
- DWhy do you think you are feeling this way today?你認為今天為什麼會有這種感覺？
治療性溝通核心在於「反映（Reflection）」個案的情緒，賦予其情感被理解的感受。C 選項確認了個案的感受並給予回應。D 選項使用「為什麼」易帶有批判性與審問感；A 選項過度保證，否認了個案真實的痛苦感受；B 選項忽視了病人焦慮的複雜性，過度簡化問題，皆非適當做法。
The core of therapeutic communication is to 'reflect' the client's emotion, giving the client the sense that their feelings are understood. Option C acknowledges the client's feelings and responds to them. Option D uses 'why,' which tends to feel judgmental and interrogative; option A provides excessive reassurance and denies the client's genuine distress; option B oversimplifies the complexity of the client's anxiety. None of these are appropriate approaches.
美護教育極度強調「反映法」；台灣臨床護理師因業務繁忙，有時會傾向採用給予指令或安撫式的溝通，較少深入處理焦慮感受。