— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位剛喪偶的病人。病人表示：「我不知道沒有伴侶我該如何存活。」哪種反應最具治療效果？
A nurse is providing care to a client who recently lost a spouse. The client states, 'I don't know how I will survive without my partner.' Which response is most therapeutic?
- AYou have family members who will help you through this.你有家人會幫助你度過這個難關。
- BDon't worry, time will heal all of your wounds.別擔心，時間會治癒你所有的傷口。
- CIt is normal to feel this way after such a significant loss.在經歷如此重大的損失後，有這種感覺是正常的。
- DTell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺。
— Explanation · 中文詳解 —
治療性溝通的核心在於鼓勵病人表達感受，而非直接給予建議或評斷。開放式問題「Tell me more」能讓病人宣洩情緒，探索其內在感受，有助於悲傷過程的調適。其他選項皆為阻斷性溝通，如給予廉價的安慰或轉移話題。
Using an open-ended statement such as 'Tell me more about what you are feeling right now' facilitates emotional expression and validates the client's grief without offering false reassurance or minimizing their pain. This therapeutic approach encourages the client to explore their feelings, which is essential for healthy mourning, unlike responses that change the subject or provide clichés.
✦ 台美臨床差異
台美對於喪親的輔導差異不大，但美國更強調轉介至專業的悲傷支持團體或諮商師。