— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位診斷為重度憂鬱症且拒絕進食的病人。護理師應優先採取的行動為何？
A nurse is caring for a client who is diagnosed with major depressive disorder and refuses to eat. Which action should the nurse take first?
- AOffer nutritional supplements提供營養補充品
- BDocument the client's caloric intake記錄病人的熱量攝取量
- CAsk the family to bring in favorite foods請家屬帶入喜愛的食物
- DDetermine the reason for the refusal✓ 正解確定拒食的原因
— Explanation · 中文詳解 —
面對憂鬱症病人拒食，護理師的首要任務是「評估（Assessment）」，而非直接採取行動。拒食的原因可能是多樣的，例如：對食物的妄想（認為被下毒）、極度憂鬱導致的無價值感、或是對醫院環境的不適應。唯有釐清背後的心理機制，才能制定有效的個別化護理計畫。直接提供補充品或強迫進食可能導致病人反感，甚至破壞護病關係，因此應先進行溝通與評估。
The nurse must first assess the underlying cause of the client's refusal to eat, such as paranoia or feelings of worthlessness, before implementing interventions. Identifying the root cause is essential for developing an effective, individualized care plan and maintaining the therapeutic relationship.