— 心理社會完整性 · EASY · MCQ —
一位45歲臨終病人表示感到絕望，並稱：「繼續這些治療已毫無意義。」護理師採取哪種回應最具治療性？
A 45-year-old client with a terminal illness expresses feelings of hopelessness and states, 'There is no point in continuing this treatment.' Which response by the nurse is most therapeutic?
- AEverything will be alright, keep your spirits up.一切都會沒事的，打起精神來。
- BYou should focus on the positive aspects of your life.你應該專注於生活中積極的一面。
- CHave you spoken to your family about these thoughts?你有跟家人談論過這些想法嗎？
- DTell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺。
— Explanation · 中文詳解 —
治療性溝通的核心在於開放式探詢，鼓勵病人表達內心深處的感受與掙扎。給予空間讓病人傾訴絕望感，能協助病人釐清思緒並降低孤獨感。B與A屬於假性安慰（False reassurance），會阻斷溝通並使病人感到被忽視；C雖為探詢，但將焦點轉向他人，忽略了病人當下的情緒需求。
The most therapeutic response encourages the client to express feelings openly, facilitating communication and helping to reduce isolation. Options A and B provide false reassurance or invalidate the client's emotions, which can shut down dialogue. Option C diverts attention away from the client's immediate needs.
✦ 台美臨床差異
台美均強調心理支持，但台灣護理師常因工作量巨大而縮短與病人會談時間，需特別留意溝通技巧的應用。