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心理社會完整性 · HARD · SATA

護理師應針對自殺高風險病人監測哪些行為?(選所有適合的)

Which behaviors should the nurse monitor for when assessing a client at risk for suicide? (Select all that apply.)

  • AGiving away personal belongings✓ 正解
    贈送個人物品
  • BSudden improvement in mood✓ 正解
    情緒突然改善
  • CVerbalizing desire to sleep for long periods
    表達想長時間睡覺的意願
  • DIncreased social interaction with peers
    與同儕增加社交互動
  • EWriting a last will and testament unexpectedly✓ 正解
    突然撰寫遺囑
Explanation · 中文詳解

核心概念:自殺高風險(Suicide Risk)的行為監測指標。 為何正確答案對: A. 餽贈個人物品(Giving away personal belongings)是常見的自殺前兆,象徵病人已決定結束生命,並在做告別的準備。 B. 情緒突然好轉(Sudden improvement in mood)看似正面,但對有自殺風險的病人而言,這可能表示他們已下定決心自殺,並因計畫的確定而感到解脫,這是一個極度危險的警訊。 E. 意外撰寫遺囑(Writing a last will and testament unexpectedly)是明確的自殺意圖表現,需要立即介入。 為何其他選項錯: C. 渴望長時間睡眠(Verbalizing desire to sleep for long periods)可能與憂鬱有關,但不直接指向自殺意圖,需結合其他指標評估。 D. 增加社交互動(Increased social interaction with peers)雖然有時是自殺前兆,但更多時候自殺者會選擇孤立。增加社交互動的解讀需視具體情況,並非絕對指標。

Core concept: behavioral monitoring indicators for high suicide risk. Why the correct answers are correct: A. Giving away personal belongings is a common premonitory sign of suicide, symbolizing that the client has decided to end his or her life and is preparing to say goodbye. B. A sudden improvement in mood may appear positive, but in a client at risk for suicide it may indicate that he or she has resolved to commit suicide and feels relief now that the plan is settled—this is an extremely dangerous warning sign. E. Unexpectedly writing a last will and testament is an explicit manifestation of suicidal intent and requires immediate intervention. Why the other options are incorrect: C. Verbalizing a desire to sleep for long periods may be related to depression but does not directly indicate suicidal intent and must be evaluated together with other indicators. D. Increased social interaction with peers can sometimes be a suicide precursor (a form of saying goodbye), but more often suicidal individuals withdraw socially. Interpretation of increased social interaction depends on context and it is not an absolute indicator.

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