— 心理社會完整性 · EASY · MCQ —
護理學生正在照護一位憂鬱症患者，下列哪句陳述顯示其理解「治療性溝通」？
A nursing student is caring for a client with depression. Which statement by the student indicates an understanding of therapeutic communication?
- AI'm sure things will get better soon if you just try harder我相信只要你再努力一點，情況很快就會好轉
- BIt sounds like you should try going out for a walk to clear your head聽起來你應該試著出去走走，讓思緒清晰一些
- CYou have been sitting here for a while; tell me what you are thinking✓ 正解你已經坐這裡一會兒了；告訴我你在想什麼
- DWhy do you feel so sad when you have a supportive family?當你有一個支持你的家庭時，為什麼會覺得這麼悲傷？
— Explanation · 中文詳解 —
治療性溝通強調傾聽與開放式問句。選項 C 使用了觀察回饋並邀請個案表達思考內容，是典型的治療性技巧。其他選項如「努力點就好」、「為什麼」、「你應該」皆為錯誤的溝通模式，帶有批判、給予建議或否定個案感受。
Therapeutic communication emphasizes active listening and the use of open-ended questions. Option C demonstrates this by providing observational feedback and inviting the client to express their thoughts, whereas options offering false reassurance, advice, or judgmental 'why' questions are non-therapeutic and may invalidate the client's feelings.
✦ 台美臨床差異
台美護理教育均重視溝通技巧，美國強調避開「Why」問句，台灣臨床教學近期也致力推廣此概念。