— 心理社會完整性 · MEDIUM · MCQ —
一位重度憂鬱症病人告訴護理師：「我看不出活下去的意義了。」護理師的回應中哪一句最具治療性？
A client with major depressive disorder tells the nurse, 'I don't see the point in living anymore.' Which statement by the nurse is the most therapeutic?
- AThings will get better with time, I promise.隨著時間推移情況會好轉，我保證。
- BYou have so much to live for, don't say that.你有這麼多活著的理由，別這麼說。
- CWhy do you feel that way when your family loves you?既然家人愛你，你為什麼會有這種感覺？
- DTell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺。
— Explanation · 中文詳解 —
此題考驗治療性溝通技巧。選項D使用了開放式問句，展現同理心並鼓勵病人表達情感，這是建立治療性關係的關鍵。其餘選項皆為溝通禁忌：承諾未來（A）、給予虛假保證（B）、或質問（C）皆會阻斷對話，讓病人感到不被理解。
The nurse should use open-ended questions to encourage the client to express feelings, which demonstrates empathy and validates their experience. Other options such as making promises, minimizing feelings, or asking 'why' are non-therapeutic communication techniques that can invalidate the client's emotions or increase defensiveness.
✦ 台美臨床差異
台灣文化較含蓄，護理師有時會過度同情；美國訓練強調透過開放問句維持專業距離與客觀性。