— 心理社會完整性 · MEDIUM · MCQ —
一位病人說自己很「沒用」、是個「失敗者」。護理師最好的回應為何？
A client says they are 'useless' and a 'failure.' What is the nurse's best response?
- A'Have you talked to your friends about this?''你有跟你的朋友談過這件事嗎？'
- B'What makes you feel that you are a failure?'✓ 正解'是什麼讓你覺得自己是個失敗者？'
- C'You have a lot to live for.''你有很多值得活下去的理由。'
- D'I don't think you are useless at all.''我認為你一點都沒有沒用。'
— Explanation · 中文詳解 —
當病人表達自我貶低的想法時，護理師應運用「探索（Exploring）」技巧，而非直接反駁。直接反駁（如「你並不沒用」）會被病人視為否定其感受，導致溝通中斷。透過開放式問句（如「是什麼讓你覺得自己是失敗者？」），能引導病人反思這些負面想法的根源，並鼓勵其自我探索，這對於評估自殺風險與建立治療聯盟至關重要。
The nurse should use exploring techniques to help the client process feelings of low self-esteem rather than dismissing them. Asking open-ended questions like 'What makes you feel that you are a failure?' encourages the client to reflect on the source of these negative thoughts. This approach fosters therapeutic communication and is essential for assessing suicide risk and building a treatment alliance.