— 心理社會完整性 · EASY · MCQ —
一位剛喪偶的個案表示：「我不知道沒有另一半該怎麼活下去。」護理師哪項回應展現了治療性溝通？
A client recently widowed expresses, 'I don't know how I can go on living without my partner.' Which response by the nurse demonstrates therapeutic communication?
- AWould you like me to call the chaplain to pray with you?您希望我打電話給牧師來為您禱告嗎？
- BIt is normal to feel sad, but you must stay strong for your family感到悲傷是正常的，但您必須為了家人保持堅強
- CYou should consider joining a support group for grief您應該考慮參加哀傷支持團體
- DTell me more about what you are feeling right now✓ 正解請告訴我您現在的感覺如何
— Explanation · 中文詳解 —
治療性溝通的核心在於鼓勵個案表達感受，而非急於給予建議或否定其情感。要求個案「堅強」是一種阻斷性溝通，會讓個案覺得感受未被重視。選擇 D 選項能提供一個開放的空間，讓個案傾訴其內心深處的失落感，有利於建立信任關係。
Therapeutic communication involves encouraging the client to express their feelings through open-ended questions rather than offering premature advice or minimizing their grief. Asking the client to elaborate on their current emotions validates their experience and helps build trust, whereas telling them to 'stay strong' blocks further communication.
✦ 台美臨床差異
美國護理教育極度重視開放式問句與傾聽，台灣臨床因護病比限制，護理師常習慣直接給予建議或解釋。