— 心理社會完整性 · EASY · MCQ —
一位臨終癌症個案處於悲傷的「討價還價」階段。哪句個案的話反映了此階段？
A nurse is caring for a client with terminal cancer who is in the 'bargaining' stage of grief. What statement by the client reflects this stage?
- AI don't believe the results are accurate.我不相信結果是準確的。
- BIf I can just live to see my daughter's wedding, I will never complain again.✓ 正解如果我能活到參加我女兒的婚禮，我就不再抱怨了。
- CI am finally ready to accept my fate.我終於準備好接受我的命運了。
- DEverything is meaningless now.現在一切都毫無意義。
— Explanation · 中文詳解 —
庫伯勒-羅絲悲傷五階段中，「討價還價」（Bargaining）通常涉及與神或命運交換條件，以爭取更多時間。A 是否認（Denial）；C 是憂鬱（Depression）；D 是接受（Acceptance）。識別這些階段有助於護理師提供合適的心理支持。
The bargaining stage of grief involves attempting to negotiate for more time or postponing the inevitable outcome. Statements like promising to change behavior in exchange for survival reflect this coping mechanism, distinct from denial, depression, or acceptance.
✦ 台美臨床差異
美國安寧療護教育普及，護理師常引導病人表達悲傷；台灣文化常較隱晦，護理師需更多敏感度察覺階段轉換。