一位診斷為重度憂鬱症的病人說：「我已經沒有什麼好期待的了。」護理師哪種回應最具治療性？
A nurse is caring for a client diagnosed with major depressive disorder who states, 'I have nothing to look forward to anymore.' Which response by the nurse is most therapeutic?
- AThings will get better with time, just be patient.隨著時間推移情況會好轉，只要耐心一點就好。
- BWhy do you feel that your future is so hopeless?你為什麼覺得你的未來如此絕望？
- CI am here to help you get through this difficult time.我在這裡幫助你度過這段困難時期。
- DTell me more about what you are experiencing right now.✓ 正解告訴我更多你現在的感受。
這是一道溝通技巧題。面對憂鬱症病人，應採用開放式提問並鼓勵病人表達情感，而非否定其感受。選項 D 使用了探索性的問句，邀請病人分享內心深處的痛苦，這是治療性溝通的核心。反之，A 是錯誤的安慰與淡化感受，B 使用「為什麼」可能讓病人感到被質疑或防衛，C 雖然友善，但偏向護理師的行為，未能聚焦於病人的感受。
The most therapeutic response uses open-ended questioning to encourage the client to express their feelings and explore their experience. This approach validates the client's emotions and fosters trust, whereas false reassurance or asking 'why' can invalidate feelings or provoke defensiveness. Focusing on the nurse's role is less effective than focusing on the client's subjective experience.
台美護理教育均強調溝通技巧，但在台灣臨床情境下，護理師常因工作量巨大而縮減傾聽過程。