護理師正在照護一位有憂鬱症史且表達無助感的病人，護理師應問哪個問題來評估自殺風險？
A nurse is caring for a client with a history of depression who is expressing hopelessness. Which question should the nurse ask to assess suicide risk?
- A'What do you think will happen in the future?''你認為未來會發生什麼事？'
- B'What makes you feel hopeless?''什麼讓你感到絕望？'
- C'How is your appetite lately?''你最近食慾如何？'
- D'Have you thought about harming yourself?'✓ 正解'你有想過傷害自己嗎？'
在心理衛生護理中，評估自殺風險必須採取「直接且明確」的溝通方式。當病人表達無助感時，護理師的首要責任是排除立即性的生命威脅。直接詢問自殺意念不會「植入」自殺想法，反而能讓病人感受到被理解並提供安全的宣洩管道。正確答案為 D，因為這是唯一直接針對自殺意念的評估，符合 NCLEX 對於優先評估安全（Safety）的要求。
In mental health nursing, assessment of suicide risk must use direct and explicit communication. When a client expresses hopelessness, the nurse's primary responsibility is to rule out an immediate threat to life. Directly asking about suicidal ideation does not 'plant' the idea of suicide; instead, it allows the client to feel understood and provides a safe outlet for expression. The correct answer is D because it is the only option that directly assesses suicidal ideation, consistent with the NCLEX requirement to prioritize safety.