— 心理社會完整性 · MEDIUM · MCQ —
一位憂鬱症病人拒絕參加團體治療。下列哪項回應最具治療性？
A patient with depression refuses to participate in group therapy. Which response is most therapeutic?
- AI understand you don't want to go. Tell me what makes you hesitant.✓ 正解我了解你不想去。告訴我讓你猶豫的原因。
- BIf you don't go, you won't get better.如果你不去，你就不會好起來。
- CYou must go; it is part of your treatment plan.你必須去；這是你的治療計畫的一部分。
- DI will tell the doctor you are being difficult.我會告訴醫生你很難搞。
— Explanation · 中文詳解 —
面對憂鬱症（Depression）病人抗拒治療時，護理師應展現同理心（Empathy）與非批判性的態度（Non-judgmental attitude）。憂鬱症狀常包含動機缺乏（Lack of motivation）或無望感，護理師若使用威脅或強迫的語氣，只會加重病人的挫折感。選項A透過接納病人的拒絕，並以開放式問句（Open-ended question）鼓勵病人表達內心的猶豫，這能協助護理師釐清抗拒背後的真正原因（如社交焦慮、疲憊），是具備治療性（Therapeutic）的溝通技巧。
A therapeutic response involves demonstrating empathy and exploring the client's feelings without judgment. Asking the client to share their hesitations encourages open communication and helps identify barriers to participation, whereas coercion or threats damage the therapeutic relationship.