— 心理社會完整性 · EASY · MCQ —
一位 45 歲末期診斷的個案表達自己是家人的負擔。下列護理師的哪項回應最能支持病人的心理社會完整性？
A 45-year-old client with a terminal diagnosis expresses feeling like a burden to their family. Which response by the nurse best supports the client's psychosocial integrity?
- AIt is common to feel that way when you are sick.生病時有這種感覺是很常見的。
- BYou should focus on your treatment goals instead.你應該專注於你的治療目標。
- CTell me more about what makes you feel like a burden to them.✓ 正解告訴我更多讓你覺得自己是他們負擔的原因。
- DYour family loves you very much and does not feel that way.你的家人非常愛你，並不這麼認為。
— Explanation · 中文詳解 —
護理師在處理心理社會完整性（Psychosocial integrity）時，應運用治療性溝通（Therapeutic communication）。開放式問句能鼓勵病人表達內心深處的感受，而非關閉對話。當病人感到自己是「負擔」時，這往往源於對疾病無助感或家庭角色改變的焦慮，透過傾聽與探索，護理師能協助病人釐清感受並提供適當的心理支持。
Using open-ended questions encourages the client to express their feelings and helps the nurse understand the specific sources of distress. This therapeutic communication approach validates the client's experience rather than minimizing it or offering false reassurance.