— 心理社會完整性 · EASY · MCQ —
護理師正在指導病人使用新開立的 fluoxetine（百憂解）。病人的哪項陳述表示需要進一步衛教？
A nurse is teaching a client about a new prescription for fluoxetine. Which statement by the client indicates a need for further teaching?
- AI will tell my doctor if I have thoughts about hurting myself.如果我有傷害自己的念頭，我會告訴醫生
- BI should feel much better and more energetic within 2 to 3 days.✓ 正解我應該在2到3天內感覺好很多且更有活力
- CI should not stop taking this medication abruptly.我不應該突然停止服用這種藥物
- DI might experience some nausea or dry mouth initially.我初期可能會經歷一些噁心或口乾
— Explanation · 中文詳解 —
Fluoxetine 是 SSRI 類藥物，通常需要 2 到 4 週甚至更長時間才能發揮完整的抗憂鬱療效。病人預期 2-3 天就能好轉是不現實的，且在藥物開始起效初期（體力增加但情緒仍低落時），自殺風險反而可能增加。A、C、D 均為正確的用藥知識。
Fluoxetine is an SSRI, and typically 2 to 4 weeks or longer are required before its full antidepressant effect is realized. It is unrealistic for the client to expect to feel better within 2 to 3 days, and during the early phase of therapy (when energy increases but mood remains low), the risk of suicide may actually be increased. Options A, C, and D all reflect correct medication knowledge.
✦ 台美臨床差異
無顯著差異，藥物衛教重點在兩地臨床皆一致。