— 心理社會完整性 · EASY · MCQ —
一位 45 歲末期診斷的病人問護理師：「為什麼這種事會發生在我身上？」護理師下列哪項回答最能展現治療性溝通？
A 45-year-old client with a terminal diagnosis asks the nurse, 'Why is this happening to me?' Which response by the nurse best demonstrates therapeutic communication?
- AYou have many reasons to be upset about this situation.✓ 正解您對這種情況感到難過是有許多理由的。
- BWould you like me to call the hospital chaplain for you?您希望我為您聯絡醫院牧師嗎？
- CEverything happens for a reason, and you are not alone.凡事必有其原因，您並不孤單。
- DIt is important to keep a positive attitude to fight this illness.保持積極的態度對於對抗此病很重要。
— Explanation · 中文詳解 —
護理師應使用「反映感受（reflecting feelings）」技巧，接納病人的情緒並促進表達，而非給予空洞的安慰或打斷話題。A 選項承認病人的悲傷與困惑，提供心理支持。其他選項皆為非治療性溝通，包含虛假保證或過早轉移話題，會阻礙病人的哀悼過程。
Therapeutic communication involves validating the client's feelings to encourage emotional expression. By reflecting the client's distress, the nurse provides psychological support and facilitates the grieving process, whereas clichés or premature referrals invalidate the client's experience.
✦ 台美臨床差異
美護理師強調反映情感技巧；台灣文化背景下，護理人員有時傾向給予鼓勵（如D項），較少直接聚焦於負面情緒的深入探討。