一位重度憂鬱症個案拒絕進食且停止自我照顧行為。護理師的首要護理措施為何？
A nurse is caring for a client diagnosed with major depressive disorder who has stopped eating and performing self-care. Which intervention is the highest priority?
- AMonitor the client's intake and output監測病人的出入量
- BFacilitate a visit from the client's family members安排病人家屬探視
- CEncourage the client to join group therapy sessions鼓勵病人參加團體治療課程
- DEnsure the client's basic physiological and safety needs are met✓ 正解確保滿足病人的基本生理和安全需求
憂鬱症個案若出現拒食與停止自我照顧，顯示其已喪失基本生活功能，生理健康正受到威脅。根據馬斯洛需求理論，生理需求（營養、水分、排泄、安全）是最高優先級（Priority）。護理師必須先確保個案的營養攝取與身體基本清潔，這是所有後續心理治療、團體治療或社交互動的基礎，否則個案可能因營養不良或脫水而陷入更嚴重的生理危機。
When a client with depression refuses to eat and ceases self-care, basic life functioning is compromised and physical health is threatened. According to Maslow's hierarchy of needs, physiological needs (nutrition, hydration, elimination, safety) are the highest priority. The nurse must first ensure that the client's nutritional intake and basic hygiene are met; these form the foundation for all subsequent psychotherapy, group therapy, or social interaction. Otherwise, the client may fall into a more severe physical crisis from malnutrition or dehydration.