# 一位準備在死產後出院的個案說：「我不知道沒有寶寶要怎麼回家。」下列哪項護理師的回應最具治療性？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498700&lang=zh-tw  
> language: zh-TW  
> subject: Mental Health Concepts  
> category: PSI

## 題目

一位準備在死產後出院的個案說：「我不知道沒有寶寶要怎麼回家。」下列哪項護理師的回應最具治療性？

## 選項

1. 當您的健康照護提供者說再次懷孕安全時，您可以再試試看
2. 我在這裡陪您；告訴我今天回家最困難的是什麼 **✔ 正確答案**
3. 專注於家中仍需要您的家人可能會有幫助
4. 大多數父母在恢復平常生活後開始感覺好轉

**正確答案: 2**

## 解析

護理師承認失落、提供陪伴，並邀請個案描述當前的擔憂，而不指導悲傷。哀傷照護應認可為人父母的身份和個別悲傷，而非淡化失落或轉移注意力到替代上。

## 深入解析

快速解答
承認失落、保持陪伴，並邀請個案分享出院最困難的部分。

為什麼這是正確的
死產哀傷照護應認可個案的為人父母身份和個別悲傷。開放的邀請讓個案能辨識情緒或實際需求，並讓護理師有基礎提供量身訂做的支持和轉介。

簡單比喻或心智圖像
護理師在個案身旁提著燈籠，而非選擇穿越悲傷的路徑。陪伴和提問幫助個案看見下一個擔憂，但此類比不暗示可預測的悲傷順序，也不取代後續支持。

記憶掛鉤
在周產期失落後，承認寶寶、保持陪伴，並跟隨父母的引導。

NCLEX 決策規則
對於死產後的悲傷，使用明確的承認、同理的陪伴和開放式問題。個別化哀傷支持，避免淡化寶寶、為人父母身份或個案當前經驗的保證。

為什麼其他選項是錯的
建議再次懷孕將寶寶視為可替代。轉移注意力到其他親屬或預測快速改善會淡化失落，並關閉溝通而非探索個案的需求。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]ACOG: Management of StillbirthAmerican College of Obstetricians and Gynecologists

- [3]ACOG: Supporting Patients Through Stillbirth CareAmerican College of Obstetricians and Gynecologists

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