— 心理社會完整性 · MEDIUM · MCQ —
一位護理師照護兩天前遭遇性侵的個案。下列哪句話最能體現護理師的治療性溝通技巧？
A nurse is caring for a client who experienced a sexual assault two days ago. Which statement by the nurse best demonstrates therapeutic communication?
- AWhy did you go to that area alone at night?為什麼你晚上會獨自去那個區域？
- BIt is important that you talk about what happened so you can heal你必須談論發生的事才能康復
- CYou should try to forget this event and move forward你應該試著忘記這件事並繼續前行
- DI am here with you, and you are in a safe place now✓ 正解我在這裡陪你，你現在處於安全的地方
— Explanation · 中文詳解 —
建立安全感是性侵後護理的核心。治療性溝通應強調同理心與提供支持環境，而非強迫個案回憶創傷。選項 B 是強迫性的；選項 A 帶有責怪受害者的意味；選項 C 則是過早的建議且否定了個案的情緒。提供安全感與陪伴是初期護理的關鍵。
Establishing a sense of safety is the core priority in post-assault care through therapeutic communication. Statements that validate the client's safety and offer presence support healing without pressuring them to recall traumatic events or implying blame.
✦ 台美臨床差異
美國有針對性侵倖存者專門的 SANE (Sexual Assault Nurse Examiner) 認證；台灣多由急診或婦產科護理師協助。