— 心理社會完整性 · MEDIUM · MCQ —
一位護理師照護遭受暴力攻擊的個案，下列哪句護理師的敘述展現了治療性溝通？
A nurse is caring for a client who experienced a traumatic assault. Which of the following statements by the nurse demonstrates therapeutic communication?
- AWhy did you not try to run away from your attacker?你為什麼沒有試圖從攻擊者身邊逃開？
- BI am here with you, and you are in a safe place now.✓ 正解我在這裡陪你，現在你處於一個安全的地方。
- CIt is important that you tell me exactly what happened during the incident.你必須告訴我事件發生時的詳細經過，這很重要。
- DYou should try to forget about the incident to feel better.你應該試著忘記這件事來感覺好一點。
— Explanation · 中文詳解 —
治療性溝通核心在於給予安全感與同理，而非強制要求揭露細節或評價行為。選項B確認了當下的安全狀態，有助於緩解創傷後的驚恐。其他選項如強制要求描述細節、要求遺忘，或追問原因（為什麼）都會對個案造成二次創傷或防禦心。
Therapeutic communication with trauma survivors prioritizes establishing safety and empathy without forcing disclosure or judging actions. Option B validates the client's current safety, which helps reduce anxiety and prevents re-traumatization. Other options involving accusatory questions, forced details, or dismissal of feelings are non-therapeutic.
✦ 台美臨床差異
美國強調 trauma-informed care（創傷知情照護）；台灣臨床教學中對此議題的溝通技巧培訓較為分散。