— 心理社會完整性 · EASY · MCQ —
護理師照顧處於哀傷「否認」階段的病人，首要任務為何？
What is the nurse's priority when caring for a client in the 'denial' stage of grief?
- AForce the client to face the reality of the situation強迫病人面對情境的現實
- BAvoid talking about the loss to reduce anxiety避免談論喪失以減少焦慮
- CProvide emotional support and encourage verbalization✓ 正解提供情感支持並鼓勵口頭表達
- DTell the client that denial is harmful to their recovery告訴病人否認對其康復有害
— Explanation · 中文詳解 —
否認（Denial）是庫伯勒-羅絲（Kübler-Ross）哀傷五階段中的初期心理防衛機制，旨在讓個體在面對巨大失落時，能有緩衝空間來消化情緒。護理師應採取「接納與支持」的態度，而非強制病人面對現實。當病人尚未準備好處理情緒時，強制揭露真相會導致焦慮激增或醫病關係破裂。護理師應提供開放式溝通環境，讓病人按自己的步調表達，藉此建立信任感，這是協助病人進入下一階段哀傷過程的必要基礎。
Denial serves as a protective defense mechanism that allows individuals to process overwhelming grief at their own pace. The nurse should provide emotional support and encourage verbalization without forcing the client to confront reality prematurely. This approach builds trust and facilitates healthy progression through the stages of grief.