— 心理社會完整性 · MEDIUM · MCQ —
一位 70 歲長者經歷喪偶。下列哪項護理介入能支持其心理健康？
A 70-year-old client experiences bereavement. Which intervention supports the client's psychological health?
- AProviding antidepressants as a standard bereavement intervention提供抗憂鬱劑作為標準的哀傷介入措施
- BTelling the client to move on quickly告訴個案快速走出陰影
- CEncouraging the client to express emotions at their own pace✓ 正解鼓勵個案以自己的步調表達情緒
- DAvoiding mentioning the deceased partner避免提及過世的伴侶
— Explanation · 中文詳解 —
哀傷是個人化的歷程。護理重點在於允許病人按照自己的節奏哀悼（C）。催促其「向前看」（B）會產生壓力；迴避談論過世者（D）會讓病人感到孤獨；常規給藥（A）非必要，除非哀傷演變為臨床憂鬱症，否則應以支持性心理照護為主。
Grief is a highly individual process that requires time and emotional expression. The nurse should encourage the client to express their feelings at their own pace, as this supports healthy coping and avoids invalidating the client's experience.
✦ 台美臨床差異
美國安寧療護體系中，喪親輔導（Bereavement support）是標準服務之一；台灣目前多由民間公益團體或宗教組織提供較多支援。