— 心理社會完整性 · MEDIUM · MCQ —
一位新確診第一型糖尿病的青少年對護理師說：「為什麼是我？我討厭這樣。」護理師最適切的回應是？
A nurse is caring for an adolescent newly diagnosed with Type 1 Diabetes. The client says, 'Why did this happen to me? I hate this.' Which is the best response?
- AYou seem frustrated; tell me more about how you are feeling.✓ 正解你似乎感到挫折；請告訴我更多你的感受。
- BYou need to focus on your diet so you don't get sick.你需要專注於飲食，以免生病。
- CIt is not that bad, many people live healthy lives with diabetes.情況沒那麼糟，許多糖尿病患者都能過著健康的生活。
- DEverything will be okay once you learn to monitor your glucose.一旦你學會監測血糖，一切都會好轉。
— Explanation · 中文詳解 —
青少年面對慢性病初診斷常有憤怒與否認情緒，護理師應採用「反映技巧」（Reflective listening）來建立治療性關係。選項 A 承認病人的情緒並給予發洩空間，能降低防衛心，而不應如其他選項般進行說教、輕視其感受或給予空洞的保證。
Adolescents often experience anger and denial upon a new chronic illness diagnosis, making reflective listening the most therapeutic response. By acknowledging the client's frustration and inviting them to share their feelings, the nurse validates their emotional experience and builds trust without minimizing their concerns or offering false reassurance.
✦ 台美臨床差異
美國護理師常與專科護理師共同進行心理社會調整評估；台灣護理師則較常在衛教時穿插心理支持，較少獨立進行心理諮商。