— 心理社會完整性 · EASY · MCQ —
護理師正在評估一位聲稱因近期生活壓力而感到不堪重負且無法應對的病人。哪項介入措施能體現治療性溝通?
A nurse is assessing a client who reports feeling overwhelmed and unable to cope with recent life stressors. Which intervention demonstrates therapeutic communication?
- AChange the subject to a more positive topic.將話題轉移到較正面的主題。
- BTell the client, 'You need to be stronger.'告訴病人:『你需要更堅強。』
- CAsk the client, 'What have you tried so far to cope?'✓ 正解詢問病人:『你到目前為止嘗試過哪些應對方法?』
- DExplain to the client how you handled similar situations.向病人解釋你是如何處理類似情況的。
— Explanation · 中文詳解 —
治療性溝通(Therapeutic communication)的目標在於傾聽、同理並引導病人探索其內在資源。詢問「目前嘗試過的應對方式」屬於開放式問句,不僅能讓病人表達自我,還能幫助護理師評估其應對機制(Coping mechanism)的有效性,而非直接給予建議或否定。護理師應避免說教、過度自我揭露或輕率轉移話題。
Asking the client what coping strategies they have already tried demonstrates therapeutic communication by using an open-ended question. This approach encourages the client to explore their own resources and allows the nurse to assess the effectiveness of their current coping mechanisms without being judgmental or dismissive.