— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位癌症末期病人，病人表示想要停止化學治療，護理師的最佳回應為何？
A nurse is caring for a client with terminal cancer who expresses a desire to stop chemotherapy. What is the nurse's best response?
- AYou should discuss this decision with your physician first.您應該先與您的醫師討論這個決定。
- BTell me more about your thoughts on this decision.✓ 正解告訴我您對這個決定的想法。
- CWhy do you feel that you want to stop the treatment?為什麼您覺得想停止治療？
- DDo you want me to call your family to discuss this?您要我打電話給您的家人來討論這件事嗎？
— Explanation · 中文詳解 —
治療性溝通（Therapeutic communication）的目標是協助病人釐清思緒與感受，而非直接給予建議或評斷。使用開放式問句（Open-ended question）如「請多跟我談談...」，能讓病人感受到被支持與尊重，進而表達出其決策背後的價值觀。使用「為什麼」容易讓病人感到辯解壓力，而轉介醫師或家人則會剝奪病人的自主權。
Therapeutic communication involves using open-ended questions to explore the client's feelings and facilitate decision-making without judgment. Responding with 'Tell me more about your thoughts' encourages the client to express their concerns and values, whereas asking 'why' or redirecting to others may create defensiveness or diminish autonomy.