一位診斷為重度憂鬱症的個案，護理師應優先評估下列何種徵象？
A nurse is interviewing a client who has been diagnosed with major depressive disorder. Which manifestation should the nurse prioritize for immediate assessment?
- ADifficulty concentrating and memory impairment注意力難以集中及記憶障礙
- BStatements of hopelessness and having a plan to end life✓ 正解表達絕望感並有結束生命的計畫
- CLoss of interest in previously enjoyed activities對過去喜愛的活動失去興趣
- DSomatic complaints such as headaches and fatigue主訴頭痛和疲倦等身體不適
憂鬱症個案若表現出絕望感（hopelessness）且持有自殺計畫，代表其致死風險極高。在心理照護中，生命安全是最高優先級，必須立即採取自殺防治措施（如一對一觀察、移除危險物品）。其他症狀（興趣喪失、注意力不集中、身體不適）雖是憂鬱症表現，但與立即的生命威脅相比，自殺計畫的評估與預防必須放在第一位。
A patient with depression who exhibits hopelessness and has a suicide plan is at extremely high risk of lethality. In psychiatric care, life safety is the highest priority, and suicide prevention measures (such as one-to-one observation and removal of dangerous items) must be implemented immediately. Although other symptoms (loss of interest, poor concentration, somatic discomfort) are manifestations of depression, the assessment and prevention of the suicide plan must take precedence over them when compared with an immediate threat to life.