— 心理社會完整性 · HARD · MCQ —
一位末期癌症個案表達絕望，並詢問「活著還有什麼意義？」。護理師何種回應最適當？
A nurse is caring for a client with terminal cancer. The client expresses feelings of hopelessness and states, 'What is the point of living?' Which response by the nurse is most appropriate?
- AChange the subject to distract the client轉移話題以分散個案注意力
- BSit silently with the client and allow them to talk✓ 正解安靜地陪伴個案，讓其表達
- CEncourage the client to think about their family instead鼓勵個案轉而思考其家人
- DTell the client that things will get better soon告訴個案情況很快就會好轉
— Explanation · 中文詳解 —
面對靈性困擾與絕望感，治療性溝通的核心在於傾聽與陪伴（Presence）。給予時間與空間讓個案表達深層情感，能有效建立信任並減輕孤立感。給予空洞的保證（D）、轉移焦點（A）或強迫思考家人（C）均屬否定個案情緒的反應，會阻礙深層的心理治療過程。
Therapeutic communication in cases of hopelessness involves active listening and silent presence to allow the client to process deep emotions safely. Providing false reassurance, changing the subject, or redirecting focus to family dismisses the client's distress and hinders effective psychological support.
✦ 台美臨床差異
美國護理強調心理社會支持與靈性關懷；台灣受限於人力與文化，護理師常需轉介社工或宗教師介入。