— 心理社會完整性 · EASY · MCQ —
一位 45 歲憂鬱症患者表示：「我覺得自己對家人是個負擔。」護理師最適切的回應是？
A 45-year-old client is admitted for major depression. The client states, 'I feel like I am a burden to my family.' Which therapeutic response by the nurse is best?
- AYou seem to be feeling very hopeless right now✓ 正解你現在似乎感到非常絕望
- BThat is not true, your family loves you very much這不是真的，你的家人非常愛你
- CMost people with depression feel that way sometimes大多數憂鬱症患者有時會有這種感覺
- DWhy do you feel that you are a burden to them?你為什麼覺得自己是他們的負擔？
— Explanation · 中文詳解 —
此回應運用了「反映情感（reflecting）」技巧，幫助病人確認並表達其內在情緒。A 為否定病人的感受，無效的安撫；B 使用「為什麼」詢問容易讓病人感到被質問；C 則是將病人的個別經驗一般化，減弱了治療性溝通的深度，容易中斷對話。
Reflecting the client's feelings validates their emotional state and encourages further therapeutic communication. By acknowledging the client's sense of hopelessness, the nurse creates a safe space for expression without offering false reassurance or minimizing the experience. This approach helps build trust and addresses the underlying emotional distress associated with depression.
✦ 台美臨床差異
台美護理教育均強調治療性溝通，但台灣臨床高工作量常導致護理師縮短傾聽與反映情感的時間。