— 心理社會完整性 · MEDIUM · MCQ —
一位 12 歲白血病兒童表達對死亡的恐懼。最適當的回答為何？
A 12-year-old client with leukemia expresses fear of death. What is the most appropriate response?
- A'Tell me what you are afraid of regarding the illness.'✓ 正解告訴我你對這疾病感到害怕的是什麼。
- B'I have seen many kids recover from this.'我看過很多孩子從這種病康復。
- C'You have nothing to be afraid of.'你沒什麼好怕的。
- D'We can talk about this when you are feeling better.'等你感覺好些時，我們可以談談這個。
— Explanation · 中文詳解 —
對於學齡期的兒童，面臨死亡威脅會產生極大焦慮。護理師應傾聽其心聲，運用「探索」技巧（A）。否定其恐懼（C）或提供虛假希望（B）均會中斷溝通。避而不談（D）會讓兒童感到孤立無援，應把握機會提供心理支持。
School-age children face significant anxiety when threatened with death, making it crucial for the nurse to explore the child's specific fears to facilitate emotional processing. Denying these feelings or offering false hope invalidates the child's experience and damages trust, while delaying the conversation ignores their immediate need for support.
✦ 台美臨床差異
兩地癌症病房護理皆極度重視病人的心理安寧；美國強調兒童安寧照護的溝通，台灣則傾向由醫師與護理師共同參與對話。