針對診斷為憂鬱症且有絕望感的病人,下列哪些護理措施是適當的?(選所有適合的)
Which of the following interventions are appropriate for a client diagnosed with depression and feelings of hopelessness? (Select all that apply.)
- AEncourage the client to participate in group activities✓ 正解鼓勵個案參與團體活動
- BAsk the client directly if they have thoughts of suicide✓ 正解直接詢問個案是否有自殺念頭
- CProvide the client with a private, dark room to sleep為個案提供一間私密的黑暗房間睡覺
- DOffer frequent, short interactions throughout the day✓ 正解在一天中提供頻繁且短暫的互動
- EFocus conversations solely on positive topics對話僅專注於正面主題
憂鬱症病人需透過主動關懷與引導建立連結。詢問自殺意念不會誘發自殺,反而是評估風險的關鍵。短暫頻繁的互動可降低社交壓力,參與活動則能減緩與世隔絕感。C選項會助長社交退縮;E選項應保持客觀接納,而非強迫正面思考。
Patients with depression need to establish connection through proactive caring and guidance. Directly asking about suicidal ideation does not provoke suicide; rather, it is essential for assessing risk. Short, frequent interactions reduce the social burden, and participation in activities helps decrease feelings of isolation. Option C reinforces social withdrawal, and option E is inappropriate: the nurse should maintain an objective, accepting stance rather than force positive thinking.
無明顯差異,皆強調預防自殺風險與治療性溝通技巧之應用。