— 心理社會完整性 · MEDIUM · MCQ —
一位末期癌症病人對工作人員感到憤怒。對此行為的最佳詮釋為何？
A nurse is caring for a client with terminal cancer who is angry at the staff. What is the best interpretation of this behavior?
- AThe anger is a displacement of the client's helplessness and fear✓ 正解這種憤怒是病人無力感與恐懼的移置
- BThe staff has provided inadequate care工作人員提供的照護不足
- CThe client is seeking attention from the nurses病人正在尋求護理人員的注意
- DThe client is a naturally difficult person病人天生難相處
— Explanation · 中文詳解 —
在哀傷階段（Kübler-Ross 模型），憤怒是面對疾病失去控制感的延伸。病人無法改變癌症的結局，因此將怒氣發洩在身邊的人員身上。此行為並非針對個人或工作表現的否定，而是心理調適過程中常見的防禦與發洩。
Anger is a common defense mechanism in the grieving process, reflecting the client's feelings of helplessness and loss of control over their terminal illness. This behavior is not a personal attack on staff but a psychological response to the situation.
✦ 台美臨床差異
台美皆強調同理憤怒情緒；美國安寧護理中，護理師常與靈性關懷師合作處理此類病人的心理需求。