— 心理社會完整性 · EASY · MCQ —
一位 45 歲被診斷為廣泛性焦慮症（GAD）的病人對所有事情都感到擔憂。哪一句護理師的話最能體現治療性溝通？
A 45-year-old client is diagnosed with generalized anxiety disorder (GAD) and expresses worry about everything. Which statement by the nurse best demonstrates therapeutic communication?
- AYou should focus on the positive aspects of your life.你應該專注於生活中積極的一面。
- BWhy do you feel the need to worry about everything?為什麼你會覺得需要對所有事情都感到擔憂？
- CEverything will be fine; you should try to relax.一切都會沒事的；你應該試著放鬆。
- DTell me more about what you mean by 'everything'.✓ 正解請多告訴我一些，你所指的『所有事情』是什麼意思？
— Explanation · 中文詳解 —
治療性溝通的核心是協助病人探索並具體化模糊的焦慮感，以利釐清思緒。D 選項使用開放式問句鼓勵病人表達，能促進護病關係。A 含有指責意味；C 為虛假的安慰；A 屬於給予建議，易阻斷談話，均非理想溝通技巧。
Therapeutic communication encourages clients to explore and clarify vague feelings, such as general worry, by using open-ended questions. Asking the client to elaborate on specific stressors facilitates deeper understanding and problem-solving. Providing advice, asking 'why,' or offering false reassurance can hinder effective communication and increase defensiveness.
✦ 台美臨床差異
美護理教育極度強調傾聽技巧（Active Listening）；台灣臨床護理因工作負荷較重，溝通時常傾向於快速解決問題或衛教。