— 心理社會完整性 · MEDIUM · SATA —
護理師照護一位喪偶的悲傷客戶，下列哪些護理師的敘述展現了治療性溝通技巧？（選所有適合的）
A nurse is caring for a client who is grieving the loss of a spouse. Which statements by the nurse demonstrate an understanding of therapeutic communication? (Select all that apply.)
- AI understand exactly how you feel right now.我完全了解你現在的感受。
- BTell me more about how you and your spouse met.✓ 正解告訴我更多關於你和配偶是如何相遇的。
- CIt is important that you stay strong for your children.為了你的孩子，保持堅強是很重要的。
- DIt sounds like you are feeling very alone since your spouse passed away.✓ 正解聽起來自從你的配偶過世後，你感到非常孤單。
- ETake your time; I am here to listen.✓ 正解慢慢來；我在這裡傾聽。
— Explanation · 中文詳解 —
治療性溝通強調接納與鼓勵表達。開放式問句能引導客戶敘事，反射感受能驗證客戶情緒，提供陪伴的時間則給予心理安全感。A 錯誤：沒人能完全理解他人的悲傷，這會顯得傲慢。C 錯誤：這是說教，會否定客戶真實的悲傷權利。
Therapeutic communication encourages the client to express feelings through open-ended questions, such as asking about memories of the deceased. Reflecting emotions validates the client's experience, while offering presence and patience provides a safe environment for processing grief without judgment.
✦ 台美臨床差異
美國強調病人中心照護與情緒表達；台灣文化背景下，常以「勸慰」取代「傾聽」，治療性溝通在臨床護理教育中需加強。