護理師正在照護一位近期失業的病人。病人表達了無助感和身份認同的失落。最恰當的初步護理評估是什麼？
A nurse is caring for a client who has recently experienced a job loss. The client expresses feelings of hopelessness and loss of identity. What is the most appropriate initial nursing assessment?
- AProvide information about job placement services.提供就業安置服務的資訊
- BDiscuss the importance of positive self-talk.討論正向自我對話的重要性
- CExplore the client's coping mechanisms and support systems.✓ 正解探索病人的因應機制與支持系統
- DAssess financial resources.評估財務資源
面對突發性生活壓力（如失業），病人常出現身份認同危機與無助感。護理評估的核心在於識別病人既有的資源，以便在危機介入中提供支持。評估應對機制（Coping mechanisms）與社會支持系統是心理護理的第一步，這能幫助護理師了解病人如何處理壓力，以及是否有足夠的資源協助其渡過難關。其他選項皆屬於後續的資源轉介或認知行為調整，在初期評估階段，了解病人的內在與外在韌性更為重要。
The initial nursing assessment should focus on exploring the client's coping mechanisms and support systems to identify available resources for managing the crisis. Understanding how the client handles stress and their social network is essential before implementing interventions like resource referral or cognitive restructuring. This assessment helps determine the client's resilience and guides the development of an effective care plan.