— 心理社會完整性 · HARD · MCQ —
護理師照護一位末期癌症個案，個案表達絕望感。哪一句話是最適當的治療性回應？
A nurse is caring for a client with terminal cancer who expresses hopelessness. Which statement is the most therapeutic response?
- AHave you considered talking to a chaplain or counselor?你有考慮過與牧師或諮商師談話嗎？
- BTell me more about what has been on your mind lately✓ 正解告訴我你最近心裡在想什麼
- CIt is normal to feel sad, but you have much to live for感到悲傷是正常的，但你還有許多值得活下去的理由
- DYou seem to be losing your will to fight this illness你似乎正在失去與疾病奮鬥的意志
— Explanation · 中文詳解 —
面對末期病人的絕望感，治療性溝通的核心在於「傾聽與引導」，而非急於給予建議或否定病人的負面情緒。選項 B 運用開放式探問（Open-ended question），能鼓勵病人進一步表達內心感受，展現護理師的接納態度，是建立治療性關係的基石。相較之下，其他選項皆帶有評論性質或拒絕承認病人的情緒，這會導致溝通中斷，使病人感到不被理解。
The most therapeutic response is to ask the client to elaborate on their feelings, as open-ended questions encourage verbalization of deep emotions and demonstrate acceptance. This approach validates the client's experience and builds a therapeutic relationship, whereas other options may minimize feelings or offer premature advice.