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心理社會完整性 · MEDIUM · SATA

護理師指導一位憂鬱症病人服用 SSRI 藥物,下列哪些陳述代表病人理解正確?(選所有適合的)

A nurse is teaching a client about the use of SSRIs for depression. Which statements by the client indicate a correct understanding? (Select all that apply.)

  • AI should expect to see improvement within 2-3 days
    我應該預期在2-3天內看到改善
  • BI may experience some side effects like nausea initially✓ 正解
    我初期可能會經歷一些副作用,如噁心
  • CI should not stop taking the medication suddenly✓ 正解
    我不應該突然停止服藥
  • DIt is safe to consume alcohol while taking this medication
    服用此藥物期間飲酒是安全的
  • EI will contact my doctor if I have thoughts of harming myself✓ 正解
    如果我產生傷害自己的想法,我會聯絡我的醫師
Explanation · 中文詳解

SSRI 藥物起效緩慢,通常需 2-4 週甚至更久,故 A 錯誤。初期腸胃不適為常見副作用(B)。停藥需漸進減量以防戒斷症狀(C)。酒精會加重憂鬱及藥物副作用(D)。憂鬱症藥物治療初期自殺風險可能增加,若有傷害想法需立刻就醫(E)。

SSRIs have a slow onset of action and typically require 2-4 weeks or longer to take effect, so option A is incorrect. Gastrointestinal discomfort is a common early side effect (B). Discontinuation should be gradual to prevent withdrawal symptoms (C). Alcohol worsens depression and intensifies side effects (D). During the initial phase of antidepressant therapy, the risk of suicide may increase, and any thoughts of self-harm require immediate medical contact (E).

✦ 台美臨床差異

台美對於衛教內容一致,台灣護理師常需特別加強關於「自殺風險增加」的警示教育。

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