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心理社會完整性 · MEDIUM · SATA

下列哪些行為展現了與憤怒病人有效的治療性溝通?(選所有適合的)

Which of the following actions demonstrates effective therapeutic communication with an angry client? (Select all that apply.)

  • AListening to the client without interruption✓ 正解
    不打斷地傾聽個案
  • BArguing with the client to prove they are wrong
    與個案爭辯以證明他們是錯的
  • CValidating the client's feelings while maintaining professional limits✓ 正解
    在維持專業界線的同時肯定個案的感受
  • DRefusing to allow the client to express their anger at all
    拒絕允許個案表達憤怒
  • EKeeping a calm and non-threatening posture✓ 正解
    保持冷靜且無威脅性的姿態
Explanation · 中文詳解

面對憤怒病人,治療性溝通的核心在於「去升級(de-escalation)」技術。護理師應保持冷靜,避免情緒化反應,並透過主動傾聽與同理心來降低病人的防衛機制。有效溝通並非要求病人完全不生氣,而是引導其以非暴力、建設性的方式表達需求。護理師須始終將自身安全置於首位,並設定專業界線,防止病人出現言語或肢體暴力。

Effective therapeutic communication with an angry client involves listening without interruption, validating their feelings while maintaining professional boundaries, and keeping a calm, non-threatening posture. These strategies help de-escalate the situation by allowing safe expression of emotions without escalating conflict or suppressing the client's needs.

✦ 台美臨床差異

美國醫療環境對於「職場暴力預防(Workplace Violence Prevention)」有極嚴格的政策,護理師在處理憤怒病人時,若感覺有安全威脅,必須立即尋求警衛或同事協助,這在 NCLEX 考試中屬於優先級極高的考點。

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