一位重度憂鬱症病人自述無價值感且疲倦。評估護理成效最合適的目標為何？
A client diagnosed with major depressive disorder reports feelings of worthlessness and fatigue. Which outcome is most appropriate to evaluate the effectiveness of nursing care?
- AThe client expresses a desire to return to work病人表達想重返工作的願望
- BThe client participates in one structured group activity✓ 正解病人參與一項結構化的團體活動
- CThe client verbalizes that they feel happy today病人口頭表示今天感覺快樂
- DThe client sleeps for 10 hours at night病人夜間睡眠達 10 小時
憂鬱症病人常有社交退縮傾向。透過參與結構化的團體活動，能逐步建立社交信心並增加活動量，是衡量護理介入是否促進其社會互動能力的指標。強求病人快樂是不切實際的，睡眠過長不代表憂鬱改善，重返工作則是較長遠的目標。
Clients with depression often exhibit social withdrawal. Participating in structured group activities gradually rebuilds social confidence and increases activity level, and serves as a measurable indicator of whether the nursing intervention promotes the client's social interaction. Forcing the client to feel happy is unrealistic; sleeping for long periods does not indicate improvement in depression; and returning to work is a longer-term goal.
兩地均重視團體治療。台灣護理師較常在日間照護中心推動結構化活動。