— 心理社會完整性 · MEDIUM · MCQ —
一位重度憂鬱症病人服用抗憂鬱劑已兩週，病人表示：「我還是覺得很糟，這藥好像沒用。」護理師應如何回應？
A nurse is caring for a client diagnosed with major depressive disorder who has been on an antidepressant for 2 weeks. The client states, 'I still feel terrible, I don't think this pill is working.' Which is the best nursing response?
- AIt is normal to feel this way; you should stop the medication有這種感覺是正常的；你應該停止用藥
- BIt can take several weeks for the medication to reach its full therapeutic effect✓ 正解藥物可能需要數週時間才能達到完整的治療效果
- CMaybe you should try a different approach, such as exercise instead也許你應該嘗試不同的方法，例如運動
- DI will contact your physician to switch the medication immediately我會聯絡醫師立即更換藥物
— Explanation · 中文詳解 —
抗憂鬱劑（如 SSRIs）通常需要 2 至 4 週，甚至更長的時間才能達到顯著的臨床效果。護理師需提供衛教，告知病人藥物療效的延遲特性，並鼓勵其持續服藥，避免因心急而擅自停藥，同時需持續監測其自殺意念。
Antidepressants (such as SSRIs) typically require 2 to 4 weeks, or longer, to produce noticeable clinical effects. The nurse should provide education explaining the delayed onset of therapeutic effect, encourage continued medication adherence, and discourage premature discontinuation, while continuing to monitor for suicidal ideation.
✦ 台美臨床差異
台美護理師皆負有衛教責任，在台灣常需結合精神科護理師的專業評估來強化病人服藥遵從性。