— 照護管理 · MEDIUM · MCQ —
一位病人開始服用新抗憂鬱藥物，哪項評估最重要？
Which assessment is most important for a client starting a new antidepressant medication?
- AAssess for appetite changes評估食慾變化
- BEvaluate for cognitive improvement評估認知功能改善情況
- CCheck for sleep duration檢查睡眠時間
- DMonitor for suicidal ideation✓ 正解監測自殺意念
— Explanation · 中文詳解 —
抗憂鬱藥物（Antidepressants）在用藥初期，特別是對於兒童、青少年及 25 歲以下年輕成人，具有增加自殺念頭（Suicidal Ideation）的黑框警告（Black Box Warning）。這是護理師在治療初期必須優先監控的安全指標，因為藥物初期可能因能量增加但情緒尚未改善，使病人更有動力執行自殺計畫。
Antidepressants carry a black box warning for increased suicidal ideation during the initial phase of therapy, particularly in children, adolescents, and young adults under 25. This is the priority safety parameter the nurse must monitor at the start of treatment, because early in therapy patients may experience increased energy before mood improves, giving them the drive to act on a suicide plan.