— 心理社會完整性 · MEDIUM · SATA —
護理師向護生教學治療性溝通，哪些敘述是合適的？（選所有適合的）
A nurse is teaching a group of nursing students about therapeutic communication. Which statements are appropriate? (Select all that apply.)
- AUse silence to allow the client to process thoughts✓ 正解運用沉默讓個案處理思緒
- BOffer personal advice to help solve the client's problems提供個人建議以協助解決個案的問題
- CUse open-ended questions to encourage conversation✓ 正解使用開放式問題以鼓勵對話
- DFocus on the client's feelings rather than the nurse's experiences✓ 正解聚焦於個案的感受而非護理師的經驗
- EValidate the client's feelings by paraphrasing their statements✓ 正解透過重述個案的陳述來驗證其感受
— Explanation · 中文詳解 —
治療性溝通強調以個案為中心，透過傾聽、沉默、開放式問句、同理與重述（Paraphrasing）建立關係。護理師應避免提供個人建議（Personal advice），因為會造成個案依賴且忽略了個案自身的決定權。護理師應維持專業界線，避免談論自身經驗以保持溝通聚焦於個案需求。
Therapeutic communication focuses on the client's needs using techniques like silence, open-ended questions, and paraphrasing to validate feelings. Nurses should avoid giving personal advice or shifting focus to their own experiences, as this undermines client autonomy and professional boundaries.
✦ 台美臨床差異
美國護理教育極度強調「不提供建議」；台灣臨床則常見護理師熱心給予建議，雖親切但需注意界線。