— 健康促進與維護 · MEDIUM · MCQ —
護理師照顧一位對「變老」感到憂慮的長者，何種回應展現治療性溝通？
A nurse is caring for an older adult who expresses concern about "growing older." Which response demonstrates therapeutic communication?
- A"Why are you so concerned about aging right now?"「你現在為什麼這麼擔心變老？」
- B"It is just a natural part of life that everyone goes through."這只是每個人都會經歷的自然生命階段。
- C"You are still very healthy for your age, so don't worry."以你的年齡來說身體還很健康，所以別擔心。
- D"Many people feel this way; tell me more about what worries you most."✓ 正解很多人都有這種感覺；告訴我你最擔心的是什麼。
— Explanation · 中文詳解 —
治療性溝通應著重於開放式問題，讓病人抒發感受。選項 D 運用同理心並鼓勵病人詳細描述憂慮，有助建立護病關係。選項 C 輕描淡寫；選項 B 顯得過度簡化；選項 A 使用「為什麼」質詢語氣，易使病人產生防衛心態。
Therapeutic communication involves validating the client's feelings and encouraging them to express their concerns through open-ended questions. This approach fosters trust and allows the nurse to better understand the client's specific worries about aging.
✦ 台美臨床差異
美國護理教育極度強調同理心與溝通技巧，台灣臨床雖重視但常因時間緊迫而難以落實。