— 心理社會完整性 · MEDIUM · MCQ —
一位剛被診斷為末期疾病的病患表示：「我不知道為什麼這種事會發生在我身上；我一直都過得很好。」護理師最具治療性的回應為何？
A nurse is interviewing a client recently diagnosed with a terminal illness. The client states, 'I don't know why this is happening to me; I've lived a good life.' Which response by the nurse is most therapeutic?
- AEverything will work out, you just need to stay positive.一切都會好轉，你只需要保持樂觀
- BHave you spoken to your family about this?你有跟家人談過這件事嗎？
- CIt is normal to feel like this when faced with a diagnosis.面對診斷結果有這種感覺是正常的
- DTell me more about what you are feeling right now.✓ 正解告訴我你現在的感覺如何
— Explanation · 中文詳解 —
面對末期疾病診斷，病患常經歷悲傷五階段（憤怒、討價還價等）。護理師應運用「治療性溝通（Therapeutic communication）」技巧，透過開放式問句（Open-ended questions）鼓勵病患表達內在感受。選項D能讓病患主導談話內容，護理師則扮演傾聽與支持的角色，有助於建立信任關係並緩解心理壓力。
The client is expressing feelings of bargaining or confusion regarding their terminal diagnosis. The most therapeutic response uses an open-ended statement to encourage the client to explore and verbalize their current emotions, fostering trust and allowing the nurse to provide appropriate emotional support.