— 心理社會完整性 · MEDIUM · MCQ —
一位病人明天即將接受乳房根除術。她說：「我很擔心我丈夫的反應。」護理師哪種回答最具治療性？
A client is scheduled for a radical mastectomy tomorrow. She says, 'I am worried about my husband's reaction.' Which response by the nurse is therapeutic?
- A'Have you asked your husband how he feels?''你有問過你丈夫的感覺如何嗎？'
- B'Don't worry, he will support you no matter what.''別擔心，無論如何他都會支持你的。'
- C'Tell me more about your concerns regarding his reaction.'✓ 正解'告訴我更多你對他反應的擔憂。'
- D'Many women worry about this, you are not alone.''很多女性都會為此擔心，你並不孤單。'
— Explanation · 中文詳解 —
此選項運用了「探索」（Exploring）技巧。鼓勵病人表達對身體意象改變的擔憂，能幫助她釐清焦慮根源。選項 B 是虛假的保證；選項 D 雖然有同理心，但並未深入探討該病人的獨特感受；選項 A 則過早將焦點轉移至他人，而非病人自身的心理歷程。
The most therapeutic response is to encourage the client to explore her feelings by asking her to elaborate on her concerns. This technique validates her anxiety and helps identify the root of her distress regarding body image changes. Providing false reassurance or generalizing the experience minimizes her unique feelings, while shifting the focus to the husband avoids addressing the client's immediate emotional needs.
✦ 台美臨床差異
美國乳房護理重視心理師介入；台灣臨床雖有關懷，但因時間限制，護理師常需利用有限時間提供心理諮詢。