— 心理社會完整性 · EASY · MCQ —
一位末期癌症個案向護理師表示：「我覺得我是家人的負擔。」下列何者屬於治療性溝通？
A nurse is caring for a client with terminal cancer who expresses, 'I feel like I am a burden to my family.' Which response demonstrates therapeutic communication?
- AYour family loves you very much, do not worry你的家人非常愛你，別擔心
- BTell me more about why you feel like a burden✓ 正解告訴我更多你為什麼覺得自己是負擔的原因
- CMost patients with your diagnosis feel the same way大多數診斷相同的病人都有同樣的感覺
- DYou should focus on your recovery instead of these thoughts你應該專注於康復，而不是這些想法
— Explanation · 中文詳解 —
探討個案感受是治療性溝通的核心，使用開放式問句鼓勵其表達內心深處的焦慮。A 是錯誤的安慰（虛假保證）；C 是評斷性回應，否定了個案的感受；C 則是將焦點轉移，會中斷與個案的深度連結，忽視了個人的獨特體驗。
Asking the client to elaborate on their feelings uses an open-ended approach to encourage expression and validate their emotional distress. This therapeutic communication technique fosters trust and allows the nurse to understand the root of the client's perception of being a burden.
✦ 台美臨床差異
台美護理教育均高度重視治療性溝通，但在台灣臨床常因時間壓力，護理師較難進行深度心理對話。