— 心理社會完整性 · MEDIUM · MCQ —
下列哪項護理措施最能展現護理師對憂鬱症個案治療性溝通的了解？
Which of the following actions by a nurse demonstrates the best understanding of therapeutic communication with a client who is depressed?
- ASitting with the client in silence✓ 正解與病人一同靜坐
- BAsking the client why they are feeling sad詢問病人為何感到悲傷
- COffering frequent cheerful reassurances頻繁提供樂觀的保證
- DEncouraging the client to 'look on the bright side'鼓勵病人『往好處想』
— Explanation · 中文詳解 —
對於憂鬱症個案，過多的言語介入或強行鼓勵常會使個案感到壓力與挫折。治療性溝通（Therapeutic communication）強調陪伴與接納。使用「沉默」能給予個案空間，展現護理師願意與其共同承擔痛苦的態度，而不強迫個案進行過度的口頭互動，這是建立治療性信任關係（Therapeutic rapport）的基礎。
Therapeutic communication with a depressed client emphasizes presence and acceptance rather than excessive verbal interaction or false reassurance. Sitting in silence allows the client space to express feelings without pressure, demonstrating empathy and building trust, whereas asking 'why' or offering toxic positivity can increase defensiveness or invalidate their experience.