— 照護管理 · MEDIUM · MCQ —
護理師正在收納一位新診斷為心臟衰竭的病人，病人問：「我還能回家嗎？」護理師最富治療效果的回應是？
A nurse is admitting a client with newly diagnosed heart failure. The client asks, "Will I ever be able to go home again?" Which response by the nurse is most therapeutic?
- A"We will focus on managing your symptoms here first."我們將先專注於在這裡管理您的症狀。
- B"Yes, with proper treatment and lifestyle changes, many people with heart failure live fulfilling lives at home."是的，透過適當的治療和生活型態改變，許多心臟衰竭患者都能在家中過著充實的生活。
- C"Heart failure is a serious condition, but we will do our best to help you."心臟衰竭是一種嚴重的疾病，但我們會盡最大努力協助您。
- D"Let's talk about your current symptoms and what is worrying you the most."✓ 正解讓我們談談您目前的症狀以及讓您最擔心的事情。
— Explanation · 中文詳解 —
治療性溝通（Therapeutic Communication）的核心在於「傾聽」與「引導」。病人表達對未來的擔憂，護理師不應急於給予廉價的保證（False reassurance），而應鼓勵病人將恐懼具體化。透過詢問病人「什麼讓您最擔心」，護理師能了解病人的心理需求，進而提供針對性的資訊與情緒支持，建立良好的護理關係。
The most therapeutic response is to ask the client about their current symptoms and specific worries, which encourages open dialogue and helps identify underlying fears. Providing false reassurance or focusing solely on medical management without addressing the emotional concern fails to establish a supportive therapeutic relationship.