— 心理社會完整性 · EASY · MCQ —
護理師訪談一位自述感到無價值且對過往喜好事物失去興趣的病人。下列哪項護理師的回應最能促進治療性關係？
A nurse is interviewing a client who reports feelings of worthlessness and a lack of interest in activities once enjoyed. Which response by the nurse best supports the development of a therapeutic relationship?
- ADon't worry, these feelings will eventually pass on their own.別擔心，這些感覺最終會自行消失。
- BHave you considered talking to a therapist about these feelings?你有考慮過就這些感覺與治療師討論嗎？
- CIt is common to feel this way; you should try to be more positive.有這種感覺很常見；你應該試著更積極一點。
- DTell me more about what you mean when you say you feel worthless.✓ 正解告訴我更多關於你說感到無價值時的含義。
— Explanation · 中文詳解 —
治療性溝通的核心在於引導病人探索感受。選項 D 使用開放式提問，鼓勵病人表達內心世界，有助於建立信任。選項 C 與 A 屬於「提供虛假保證」或「否定感受」，會阻礙溝通；選項 B 雖然建議正確，但在此時應先展現護理師的傾聽與接納，而非急於轉介。
Therapeutic communication involves using open-ended questions to encourage clients to express their feelings and explore underlying issues. This approach builds trust and validates the client's experience, whereas false reassurance or deflection hinders effective interaction.
✦ 台美臨床差異
台美均重視治療性溝通技巧，但在台灣醫療環境中，因門診時間短，護理師常需更具備效率的評估技巧。