一位末期癌症病人表示感到絕望。哪項護理作為體現了治療性溝通？
A nurse is caring for a client with terminal cancer who is expressing feelings of hopelessness. Which action demonstrates therapeutic communication?
- ASuggesting that the client focus on their remaining time.建議病人專注於剩餘的時間
- BChanging the subject to talk about the client's family.改變話題談論病人的家人
- CAsking, 'Tell me more about what you are feeling right now.'✓ 正解詢問：「請告訴我你現在的感覺。」
- DSaying, 'Everything will be okay, don't worry.'說：「一切都會沒事的，別擔心。」
治療性溝通的核心在於開放式的傾聽與邀請。選項C採取開放式提問，鼓勵病人表達內心感受，而非急於給予安慰或否定情感。其他選項均涉及錯誤的溝通技巧，如過度保證（False reassurance）或轉移話題，會阻斷病人表達的意願。
A blood glucose level of 250 mg/dL indicates hyperglycemia, so the nurse should continue the regular insulin infusion at the prescribed rate to achieve glycemic control. Adjusting the rate downward or administering subcutaneous insulin concurrently is inappropriate without specific protocol guidance, as IV insulin is titrated based on strict protocols. While monitoring potassium is important during insulin therapy, continuing the infusion is the primary action for managing the current glucose level.
台灣文化傾向避免談論死亡，護理師需特別練習如何面對病人的絕望情緒而不避諱。