— 心理社會完整性 · MEDIUM · MCQ —
一位癌症末期病人向護理師表示：「我知道我快走了，但我很害怕獨處。」下列哪項反應展現治療性溝通？
A client in the terminal stage of cancer shares with the nurse, 'I know I am dying, but I am still afraid of being left alone.' Which action demonstrates therapeutic communication?
- AAssure the client that the staff will check on them frequently向病人保證護理人員會經常查看。
- BSuggest that the client focus on happy memories建議病人專注於愉快的回憶。
- CTell the client that everything will be fine告訴病人一切都會沒事的。
- DSit beside the client and ask them to share more about their fear✓ 正解坐在病人旁邊，請他們分享更多關於恐懼的感受。
— Explanation · 中文詳解 —
護理師應運用傾聽與探討技巧，協助病人抒發臨終情緒。D 選項展現了護理師的陪伴與對情感的接納。A 為承諾，可能無法完全達成；B 會轉移重點，否定了病人的恐懼；D 為虛假安慰，破壞了護理師與病人的信任關係。
The nurse should recognize that consuming large amounts of green leafy vegetables introduces excessive vitamin K, which antagonizes warfarin and reduces its anticoagulant effect. Additionally, taking aspirin increases the risk of bleeding when combined with warfarin, indicating a need for further safety education.
✦ 台美臨床差異
美國護理教育極度重視治療性溝通（Therapeutic Communication），台灣臨床環境常因人力不足而傾向用護理措施取代深度溝通。