— 心理社會完整性 · EASY · MCQ —
一位 45 歲病人剛被診斷出第四期癌症，表示：「我不明白為什麼會發生這種事。」護理師哪項回應最具治療性？
A 45-year-old client is admitted with a new diagnosis of Stage IV cancer. The client states, 'I just don't understand why this happened to me.' Which response by the nurse is most therapeutic?
- AEverything will be okay; we have excellent treatment plans.一切都會沒事的；我們有優秀的治療計畫。
- BWould you like me to call the hospital chaplain for you?您是否需要我為您聯絡醫院牧師？
- CTell me more about what you are feeling right now.✓ 正解請告訴我您現在的感覺。
- DIt is common to feel this way when facing a serious illness.面對嚴重疾病時，有這種感覺是很常見的。
— Explanation · 中文詳解 —
面對重大疾病，採取開放式問句引導病人表達內心感受是核心護理原則。選項 C 鼓勵病人傾訴，有助於緩解心理壓力。D 選項雖然同理，但可能中斷對話；C 是虛假的保證，應避免；B 雖然可行，但過早介入宗教諮詢可能忽略病人當下的情緒需求。
Using open-ended questions, such as asking the client to describe their feelings, facilitates emotional expression and builds therapeutic rapport. This approach validates the client's experience and encourages further communication, whereas providing false reassurance or immediate referrals may dismiss their current emotional needs.
✦ 台美臨床差異
美護重視情緒共情；台灣醫護常因工作量大而傾向直接提供資源轉介或簡短回應。