護理師評估一位診斷為重度憂鬱症的個案。下列哪項觀察需立即進一步跟進？（選所有適合的）
A nurse is assessing a client who has been diagnosed with major depressive disorder. Which of the following observations warrants immediate follow-up? (Select all that apply.)
- AThe client begins giving away personal belongings✓ 正解病人開始贈送個人財物
- BThe client reports sleeping 10 hours a night病人報告每晚睡眠10小時
- CThe client suddenly appears peaceful and energetic✓ 正解病人突然顯得平靜且有活力
- DThe client expresses a desire to reconnect with family病人表達想與家人重新聯繫的意願
- EThe client shows a loss of interest in hobbies病人對嗜好失去興趣
重度憂鬱症患者在病情改善過程中，若突然出現能量增加、心情愉悅，同時伴隨交代遺物或贈送貴重物品，是自殺的高危險徵兆。因為他們可能已決定採取自殺行動，壓力減輕而顯得平靜。睡眠過多與興趣缺缺雖是症狀但非危險指標，與家人聯繫則為復原表徵。
In a patient with major depression whose symptoms are improving, a sudden surge of energy and elevated mood, together with giving away possessions or distributing valuables, is a high-risk warning sign for suicide. The patient may have decided to act on suicidal plans and appears calm because the burden has been lifted. Excessive sleep and loss of interest are symptoms but not danger indicators, and reconnecting with family is a sign of recovery.
美國非常強調自殺風險評估量表（如 CSSRS）；台灣臨床護理師對此敏感度近年提升，但對自殺警訊的系統化紀錄仍有進步空間。