— 心理社會完整性 · MEDIUM · MCQ —
一位癌症末期病人告訴護理師：「我知道自己快要死了，我不怕，但我很擔心我的家人。」下列何種治療性溝通最合適？
A client in the terminal stage of cancer tells the nurse, 'I know I am going to die soon, and I am not afraid, but I am worried about my family.' Which therapeutic response is best?
- ATell me more about what specifically concerns you regarding your family✓ 正解告訴我你對家人具體擔心什麼
- BDo not worry; your family will be fine after you are gone別擔心；你離開後你的家人會沒事的
- CYou have been very brave, and your family will surely be proud of you你一直很勇敢，你的家人一定會為你感到驕傲
- DWould you like me to call the hospital chaplain for you?你需要我幫你聯絡醫院牧師嗎？
— Explanation · 中文詳解 —
此選項運用了開放式提問與澄清技術，鼓勵病人表達內心的具體擔憂。這顯示護理師願意傾聽並支持病人情緒需求，而非僅僅給予虛假的安慰。選項 B 與 C 屬於無效安慰，忽略病人的真實感受；D 選項則太早將問題導向宗教支持，未確認病人需求。
Using open-ended questions encourages the client to verbalize specific concerns, demonstrating therapeutic listening and support. False reassurance or changing the subject dismisses the client's feelings, while premature referrals ignore the immediate need for emotional processing.
✦ 台美臨床差異
美國護理重視照護臨終病人的靈性與心理需求；台灣文化較避談死亡，護理師常因擔心無法處理情緒而選擇轉移話題。