— 心理社會完整性 · MEDIUM · MCQ —
一位新確診為末期癌症的個案表達出絕望感，並說：「我為什麼還要對抗它？」護理師最合適的回應為何？
A client newly diagnosed with terminal cancer expresses feelings of hopelessness and states, 'Why should I even try to fight this?' Which response by the nurse is most appropriate?
- AYou should focus on your treatment plan to improve your odds你應該專注於你的治療計畫以提高勝算
- BMany people with your condition live for several more years許多患有你這種狀況的人還能再活好幾年
- CYou have a family who loves you and wants you to fight你有愛你的家人，他們希望你能奮戰
- DIt sounds like you are feeling overwhelmed by your diagnosis✓ 正解聽起來你對自己的診斷感到不知所措
— Explanation · 中文詳解 —
這是典型的反映感受（Reflecting Feelings）技巧。對於面臨重大疾病的個案，護理師應協助其釐清並確認情緒，而非急於給予建議或反駁。C 項為罪惡感操弄；B 項為虛假希望；A 項為說教，忽略了個案目前的心理衝擊與絕望感。
The nurse is using the therapeutic communication technique of reflecting feelings to validate the client's emotional state without offering false hope or placing guilt. This approach acknowledges the client's despair and encourages further expression of feelings, which is more supportive than giving advice or dismissing their concerns.
✦ 台美臨床差異
美護理強調心理社會支持與安寧輔導；台灣常依賴宗教或家庭支持系統，護理師角色較偏向症狀控制與衛教。