— 健康促進與維護 · MEDIUM · MCQ —
護理師照顧一位表達憂傷與喪失興趣的高齡個案。護理師應優先使用哪種評估工具？
A nurse is caring for an older adult who expresses sadness and loss of interest. Which assessment tool should the nurse use first?
- AGeriatric Depression Scale (GDS)✓ 正解老年憂鬱量表 (GDS)
- BBraden ScaleBraden 量表
- CMorse Fall ScaleMorse 跌倒風險量表
- DMini-Mental State Examination (MMSE)迷你心智狀態檢查 (MMSE)
— Explanation · 中文詳解 —
高齡者出現情緒低落、喪失興趣，首先應評估是否有憂鬱症傾向。Geriatric Depression Scale (GDS) 是專為長者設計的憂鬱篩檢量表，剔除了部分生理症狀（如睡眠障礙、食慾不振），因為這些症狀在長者身上可能與其他慢性病混淆，GDS 能更精確反映長者的情緒狀態。其餘選項分別針對認知、壓瘡及跌倒風險，非情緒評估首選。
The Geriatric Depression Scale (GDS) is the appropriate initial screening tool because it is specifically designed for older adults and excludes somatic symptoms that may be confused with chronic illnesses. This allows for a more accurate assessment of mood disorders such as sadness and loss of interest without interference from physical health variables.