# 一名配偶昨天過世的病人說：「我不知道要怎麼活下去。」哪一項回應最具治療性？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394160&lang=zh-tw  
> language: zh-TW  
> subject: Therapeutic Communication  
> category: PSI

## 題目

一名配偶昨天過世的病人說：「我不知道要怎麼活下去。」哪一項回應最具治療性？

## 選項

1. 你應該為了家人而堅強。
2. 每件事的發生都有原因。
3. 這非常痛苦。我可以陪你一會兒。 **✔ 正確答案**
4. 如果你避免談論它，你會感覺好一點。

**正確答案: 3**

## 解析

治療性溝通承認失落並提供陪伴，而不給予虛假的保證或評判。淡化悲傷或使用陳腔濫調的語句並無幫助。陪伴個案有助於安全及情緒表達。

## 深入解析

臨床判斷
哀傷照護重在陪伴而非建議。

記憶提示
承認、坐下、傾聽。

## 臨床情境

臨床實務指引
哀傷支持包括積極傾聽、認可、評估安全，並視需要連結支持系統。

注意
若陳述暗示有自我傷害風險，應直接評估。

## 重要概念

- **哀傷** — 對失落的情緒反應。
- **認可** — 承認一個人的感受是可以理解的。
- **陪伴** — 以支持性和專注的方式與個案同在。

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