一位 45 歲廣泛性焦慮症病史的個案，主訴持續失眠與心悸。護理師應優先使用哪種治療性溝通技巧？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic reporting persistent insomnia and palpitations. Which initial therapeutic communication technique should the nurse use?
- ASuggest that the client try deep breathing exercises immediately建議病人立即嘗試深呼吸練習
- BEncourage the client to describe their feelings✓ 正解鼓勵病人描述其感受
- CAssure the client that everything will be fine向病人保證一切都會沒事的
- DAsk the client why they are feeling so anxious詢問病人為何感到如此焦慮
治療性溝通的核心在於鼓勵病患自我表達。描述感覺能幫助個案識別焦慮來源，是建立治療關係與評估心理狀態的基礎。詢問「為什麼」（Why）具挑釁意味，常引起防衛心理；保證一切會好是虛假安慰；呼吸運動雖有用，但應在建立溝通基礎後才導入。
Therapeutic communication prioritizes encouraging the client to express feelings to facilitate exploration of underlying issues and build a trusting relationship. Asking open-ended questions allows the client to describe their experience without feeling judged or defensive. Other options, such as offering immediate advice or false reassurance, may inhibit communication or dismiss the client's concerns.
美方強調心理評估的自主性；台灣臨床常因時間緊迫而直接建議處置，較少落實深度溝通。