— 心理社會完整性 · MEDIUM · MCQ —
一位失去配偶的喪親病人表示：「我不知道沒有他我該怎麼過下去。」護理師哪項回應最具治療性？
A nurse is caring for a client who is mourning the loss of a spouse. The client states, 'I just don't know how I can go on without them.' Which response by the nurse is most therapeutic?
- AWould you like me to call the hospital chaplain for you?您需要我幫您聯絡醫院牧師嗎？
- BIt is normal to feel this way, it will pass in time.有這種感覺是正常的，隨著時間推移會好轉。
- CYou have your children to live for, stay strong.您還有孩子要照顧，要堅強一點。
- DTell me more about what you are feeling right now.✓ 正解請告訴我您現在的感覺如何。
— Explanation · 中文詳解 —
這是典型的喪親悲傷反應，最具治療性的溝通技巧是開放式問句，鼓勵病人表達內在情感。B 屬於輕描淡寫，會阻斷溝通；C 是說教且否定病人情緒的自主性；A 雖有幫助，但應先深入了解病人當下的心理需求，而非直接轉介。
The most therapeutic response uses an open-ended question to encourage the client to express their feelings about the loss. This approach validates the client's grief and facilitates emotional processing. Minimizing feelings or offering premature advice can hinder effective communication.
✦ 台美臨床差異
美國護理教育極度強調溝通治療性；台灣醫療環境忙碌，護理師常受限於時間而傾向簡短回覆或轉介社工。