— 心理社會完整性 · EASY · MCQ —
一位 45 歲患有廣泛性焦慮症的病人即將手術。病人在房內踱步並說：「我很害怕醒不過來。」護理師最佳的回應為何？
A 45-year-old client with a history of generalized anxiety disorder is admitted for surgery. The client is pacing in the room and states, "I am so scared that I will not wake up from the anesthesia." Which is the best response by the nurse?
- ADon't worry, the anesthesia team is very experienced.別擔心，麻醉團隊非常有經驗。
- BTell me more about what is worrying you regarding the surgery.✓ 正解告訴我更多關於你對手術的擔憂。
- CWould you like me to get you a sedative medication?你需要我幫你拿鎮靜劑嗎？
- DYou should try to think about something more pleasant.你應該試著想些更愉快的事情。
— Explanation · 中文詳解 —
面對焦慮的病人，首要工作是鼓勵病人表達感受，建立治療性溝通關係。透過傾聽，護理師能釐清焦慮的具體源頭，進而提供正確的教育或轉介支持。選項 A 屬於虛假的保證；選項 D 忽視了病人的負面情緒；選項 C 未經醫師評估不可自行提供鎮靜劑。
The best response encourages the client to verbalize specific fears, which validates their feelings and facilitates therapeutic communication. This approach addresses the root cause of anxiety better than false reassurance or immediate pharmacological intervention.
✦ 台美臨床差異
台美護理師在面對焦慮時均強調治療性溝通，但在台灣臨床節奏下，護理師常因忙碌而傾向於快速安撫或給予 PRN 安眠藥。