— 心理社會完整性 · EASY · MCQ —
一位 45 歲焦慮症病人表示害怕回到工作崗位。護理師應優先使用哪種治療性溝通技巧？
A 45-year-old client diagnosed with generalized anxiety disorder expresses fear about returning to work. Which therapeutic communication technique should the nurse employ first?
- AChallenge the client's irrational thoughts about work挑戰病人對工作的非理性想法
- BProvide reassurance that the client will be fine給予病人會沒事的保證
- CUse open-ended questions to explore the client's feelings✓ 正解使用開放式問題來探索病人的感受
- DSuggest the client take a leave of absence建議病人請假休息
— Explanation · 中文詳解 —
治療性溝通的首要目標是鼓勵病人表達感受，藉由開放式問句建立信任關係並評估焦慮核心。B選項是虛假的安慰，會阻斷溝通；D選項是護理師的建議而非引導；A選項對抗病人的思考會引發防衛機制，非初期應採取的方式。
The nurse should first use open-ended questions to encourage the client to express their feelings and explore the core concerns regarding anxiety. This approach builds trust and facilitates assessment, whereas providing false reassurance, challenging thoughts prematurely, or giving direct advice can hinder therapeutic communication and client autonomy.
✦ 台美臨床差異
美台護理教育均強調治療性溝通，但在壓力情境下，台灣護理師常因病房忙碌而較快給予建議或安慰。