— 心理社會完整性 · MEDIUM · MCQ —
病人說：「我覺得自己對家人是個負擔。」護理師最好的回應是？
A client states, 'I feel like I'm a burden to my family.' What is the best response by the nurse?
- ATell me more about what makes you feel this way.✓ 正解告訴我更多讓你產生這種感覺的原因
- BDon't say that, your family loves you very much.別這麼說，你的家人非常愛你
- CWhy do you think you are a burden to them?你為什麼認為自己是他們的負擔？
- DYou shouldn't feel that way because they are taking good care of you.你不應該有這種感覺，因為他們把你照顧得很好
— Explanation · 中文詳解 —
心理護理的核心在於建立治療性溝通（Therapeutic Communication）。面對病人表達自我負面評價，護理師應展現同理心並鼓勵病人深入探討感受，而非急於提供建議或否認其感受。正確答案 A 運用了開放式問句（Open-ended question），能有效引導病人表達內心深處的困擾，幫助護理師評估其心理狀態與自殺風險，並建立信任關係。
The nurse should use therapeutic communication by asking open-ended questions to encourage the client to express feelings without judgment. Responses that minimize feelings, ask 'why,' or dictate emotions are non-therapeutic and hinder trust and assessment.