— 心理社會完整性 · EASY · MCQ —
一位 45 歲憂鬱症個案表示：「我覺得自己對家人是個負擔。」護理師最合適的治療性溝通為何？
A 45-year-old client diagnosed with depression states, 'I feel like I am a burden to my family.' What is the most appropriate therapeutic response by the nurse?
- ATell me more about why you feel this way.✓ 正解請告訴我您為什麼會有這種感覺
- BYou should try to focus on positive things instead.您應該試著專注在積極的事情上
- CDo not worry, your family loves you very much.別擔心，您的家人非常愛您
- DWhy do you feel like you are a burden to them?為什麼您覺得自己是他們的負擔？
— Explanation · 中文詳解 —
對於憂鬱症病人，治療性溝通（Therapeutic Communication）的目標是建立信任與同理。回應個案的負面自我價值感時，護理師應使用「開放式問句（Open-ended question）」鼓勵其表達內在感受，而非否定或轉移話題。選項 A 體現了同理心與傾聽的態度，能引導病人深入探索情緒根源，是護理師建立治療關係的第一步。
Using an open-ended question encourages the client to elaborate on their feelings and explore the root of their distress without judgment. This therapeutic communication technique validates the client's experience and builds trust, whereas statements offering false reassurance or asking 'why' may minimize their feelings or provoke defensiveness.