— 心理社會完整性 · EASY · MCQ —
一位 28 歲患有廣泛性焦慮症的個案至診所就診，主訴對日常事件持續擔憂且難以專注。護理師下列哪句話最能體現同理心？
A 28-year-old client with a history of generalized anxiety disorder presents to the clinic reporting persistent worry about everyday events and inability to concentrate. Which statement by the nurse best demonstrates an empathetic response?
- AMany people feel anxious; you should try to focus on positive thoughts.許多人會感到焦慮；你應該試著專注於正向思考。
- BYou should try to exercise more to help reduce your anxiety levels.你應該嘗試多運動以幫助降低焦慮程度。
- CIt sounds like you are feeling overwhelmed by these persistent worries.✓ 正解聽起來你被這些持續的擔憂搞得不知所措。
- DCan you tell me exactly what events are causing you to worry?你能告訴我具體是什麼事件讓你感到擔憂嗎？
— Explanation · 中文詳解 —
同理心包含確認並反映個案的情緒感受。選項 C 正確地捕捉並回饋了個案的感受，有助於建立治療性關係。B 選項提供建議而非同理；A 選項試圖最小化個案感受，屬於無效溝通；D 選項雖為開放式提問，但在初次回應時優先處理情緒連結更為重要。
An empathetic response validates the client's feelings by reflecting their emotional state, which helps build trust and therapeutic rapport. Providing unsolicited advice or minimizing concerns are non-therapeutic communication techniques that can hinder the client's expression of feelings.
✦ 台美臨床差異
美國護理教育極度強調情緒評估與治療性溝通；台灣臨床常因時間緊迫而偏重生理處置，較少落實深度情緒同理。