— 心理社會完整性 · MEDIUM · MCQ —
一位 45 歲末期病患表達對死亡的恐懼，並問護理師：「你認為死後還有東西嗎？」下列回應何者最適當？
A 45-year-old client with a terminal illness expresses deep fear of dying and asks the nurse, "Do you think there is anything after this life?" Which response is most appropriate?
- AMy religion believes in heaven, but everyone is different.我的宗教信仰相信有天堂，但每個人都不一樣。
- BTell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺。
- CIt is normal to feel afraid of the unknown.對未知感到害怕是正常的。
- DLet's focus on making you comfortable today.讓我們專注於讓你今天感到舒適。
— Explanation · 中文詳解 —
護理核心在於鼓勵病人傾訴內心深處的靈性焦慮。選項 B 運用開放式問句與治療性溝通，給予病人空間探索個人的恐懼與信仰體系。選項 C 雖然同理，但未進一步促進情感交流。選項 A 涉及護理師個人信仰，不符合職業界線。選項 D 雖重要但轉移了病人的情感需求。
The most appropriate response is to use therapeutic communication by asking the client to elaborate on their feelings, which encourages exploration of spiritual distress and validates the client's emotional needs without imposing the nurse's personal beliefs.
✦ 台美臨床差異
美國強調靈性照顧需跨專業會談；台灣臨床通常由護理師轉介宗教師或關懷師，但護理師仍需具備傾聽技巧。