一位 22 歲重度憂鬱症病人住院。護理師觀察到病人獨自坐在交誼廳角落。下列何者為最合適的首次介入？
A 22-year-old client is admitted for major depressive disorder. The nurse observes the client sitting alone in the corner of the dayroom. Which action is the most appropriate first intervention?
- ASit quietly with the client for a few minutes.✓ 正解安靜地與病人一起坐幾分鐘。
- BAsk the client why they are sitting alone.詢問病人為何獨自坐著。
- CLeave the client alone to provide space and privacy.讓病人獨處以提供空間和隱私。
- DInvite the client to participate in the group activity immediately.立即邀請病人參與團體活動。
對於憂鬱症病人，強迫參與團體活動（D）會造成壓力；詢問「為什麼」（B）常帶有責備感，讓病人無法回應；離開（C）會強化病人的孤獨感。坐在病人旁邊提供「陪伴存在（presence）」是建立信任與安全感的最基礎且溫和的介入，無需言語壓力，讓病人感到被接納。
For clients with depression, forcing group participation (D) creates stress; asking 'why' (B) often carries an accusatory tone, leaving the client unable to respond; leaving (C) reinforces feelings of loneliness. Sitting with the client to provide 'presence' is the most basic and gentle intervention for building trust and a sense of safety. It places no verbal pressure on the client and makes them feel accepted.
台灣病房環境相對擁擠，護理師需在照顧群體中精準分配陪伴時間；美國強調結構化的單獨時間。