— 心理社會完整性 · MEDIUM · MCQ —
一位剛喪偶的個案向護理師表示：「我感覺自己失去自我了。」護理師應如何回應以支持個案的悲傷歷程？
A nurse is caring for a client who recently lost a spouse. The client states, 'I feel like I don't know who I am anymore.' Which response by the nurse best supports the client's grieving process?
- ATell me more about what you mean by not knowing who you are.✓ 正解告訴我你說的「不知道自己是谁」是什麼意思。
- BIt is normal to feel lost after such a big life change.在經歷如此重大的人生變故後，感到迷失是正常的。
- CHave you considered joining a grief support group?你有考慮過參加哀傷支持團體嗎？
- DYou should try to focus on your hobbies to take your mind off things.你應該試著專注於你的嗜好，以轉移注意力。
— Explanation · 中文詳解 —
治療性會談的核心在於鼓勵個案表達內在感受。選項 A 使用了開放式問句，邀請個案深入挖掘心理困境，有助於護理師了解其調適能力與認知結構。選項 B 雖有同理心，但容易中斷對話；C 是勸告，可能讓個案感到被輕視；C 雖然有建設性，但過早提議建議，可能忽略個案當下的悲傷感受。
Using an open-ended question encourages the client to explore and articulate their feelings of identity loss, facilitating therapeutic communication. This approach validates the client's emotional experience and allows the nurse to better understand their grieving process without offering premature advice or platitudes.
✦ 台美臨床差異
美國強調護理師在悲傷輔導中的角色，台灣則常將此類情緒諮詢需求轉介給臨床心理師。