護理師評估一位停止進食與整理儀容的憂鬱症個案，下列哪些護理措施適當？（選所有適合的）
A nurse is assessing a client with depression who has stopped eating and grooming. Which of the following nursing actions are appropriate? (Select all that apply.)
- AProvide small, frequent nutrient-dense meals✓ 正解提供少量多餐的高營養密度飲食
- BOffer assistance with hygiene and grooming tasks✓ 正解協助進行清潔與儀容整理
- CEncourage the client to attend all group activities immediately鼓勵病人立即參加所有團體活動
- DMonitor for signs of self-harm or suicidal ideation✓ 正解監測自我傷害或自殺意念的跡象
- ESet firm, non-negotiable goals for the client to complete alone為病人設定堅定且不可妥協的獨立完成目標
針對嚴重憂鬱個案，護理重點在於生理基本需求的支持與安全性監測。小量多次進食減少負擔，協助梳洗能維持自尊。憂鬱症患者能量低，強制參與活動會造成壓力，應給予漸進式引導。自殺監測則是住院護理的絕對優先事項。
For clients with severe depression, nursing care focuses on supporting basic physiological needs and monitoring for safety. Small, frequent meals reduce the burden of eating, and assistance with grooming helps maintain self-esteem. Because depressed clients have low energy, forced participation in activities creates stress, and progressive guidance should be employed instead. Suicide monitoring is an absolute priority of inpatient nursing care.
美國護理強調個案參與決策（Shared decision-making）；台灣照護環境常傾向護理師代勞完成護理活動。