一位末期癌症個案向護理師表示：「我覺得沒必要再吃止痛藥了。」下列何種回應具備最高治療性？
A nurse is caring for a client with terminal cancer. The client states, 'I don't see the point in taking my pain medication anymore.' Which response is most therapeutic?
- AWould you like me to call the chaplain to visit you?你想讓我叫牧師來探望你嗎？
- BIt sounds like you are feeling discouraged, tell me more about that✓ 正解你似乎感到灰心，請告訴我更多。
- CAre you feeling like you want to end your life?你有想結束生命的感覺嗎？
- DYou must take your medication to avoid severe breakthrough pain你必須服藥以避免嚴重的突破性疼痛。
此題運用開放式提問與同理心技巧。個案表達對治療失去動力，可能是憂鬱或絕望感。B 選項鼓勵個案探索情緒。B 是命令句，會終止溝通。C 太快跳到靈性需求，未處理情緒基礎。C 雖然重要，但未先同理個案目前的感受。
This question applies open-ended questioning and empathic communication. The client expresses loss of motivation for treatment, which may indicate depression or hopelessness. Option B encourages the client to explore their feelings. Option D is a directive statement and would close down communication. Option A jumps too quickly to spiritual needs without addressing the emotional foundation. Option C, although important, fails to first empathize with the client's current feelings.
美國臨終照護（Hospice）中社會工作師與諮商師角色明確；台灣臨床護理師常需兼顧身心靈評估與溝通。