— 心理社會完整性 · MEDIUM · MCQ —
一位末期癌症個案表達無望感並說：「我覺得自己撐不下去了。」護理師最具治療性的回應為何？
A nurse is caring for a client with terminal cancer who is expressing feelings of hopelessness and states, 'I don't think I can go on like this anymore.' Which statement by the nurse is most therapeutic?
- AIt sounds like you are going through a very difficult time.✓ 正解聽起來你正經歷一段非常艱難的時期。
- BDon't say that, you have a strong support system.不要那樣說，你有一個強大的支持系統。
- CHave you considered starting an antidepressant?你有考慮過開始服用抗憂鬱劑嗎？
- DWould you like me to call the chaplain for you?你需要我為你聯絡牧師嗎？
— Explanation · 中文詳解 —
面對末期病人的絕望感，護理師應運用「治療性溝通」（Therapeutic Communication）。最具治療性的回應是「反映情感」（Reflection of feelings），即承認並肯定個案感受到的痛苦，這能展現同理心，並營造一個讓個案願意敞開心胸繼續對話的空間，而非給予廉價的安慰或過早進入問題解決模式。
Validating the client's feelings by acknowledging their difficulty demonstrates empathy and encourages further expression of emotions without offering false reassurance. Therapeutic communication prioritizes active listening and reflection over immediate problem-solving or medical interventions, allowing the client to feel heard and supported.