— 心理社會完整性 · MEDIUM · SATA —
護理師教導病人使用選擇性血清素回收抑制劑（SSRIs）治療憂鬱症。哪些陳述代表病人已理解藥物知識？（選所有適合的）
A nurse is teaching a client about the use of SSRIs for depression. Which statements indicate the client understands the medication? (Select all that apply.)
- AI should expect to see results immediately.我應該預期會立即看到效果。
- BI will report any thoughts of self-harm to my doctor.✓ 正解我會向醫師報告任何自我傷害的想法。
- CI may experience some weight gain with this medication.✓ 正解服用此藥物可能會導致體重增加。
- DI should stop taking the drug if I feel dizzy.如果我感到頭暈，我應該停止服藥。
- EI understand it may take 2-4 weeks to feel the full effects.✓ 正解我明白可能需要 2-4 週才能感受到完全的效果。
— Explanation · 中文詳解 —
SSRIs 的療效通常需要 2-4 週甚至更久才會顯現，不能期待立即見效（A 錯誤）。服用初期需嚴密監控自殺意念（B 正確）。常見副作用包含體重增加（C 正確）。藥物不可隨意停用，否則會出現戒斷症候群（D 錯誤）。藥效延遲是衛教重點（E 正確）。
SSRIs typically require 2 to 4 weeks to achieve therapeutic effects, so clients should not expect immediate relief. Clients must report any increase in suicidal thoughts, as this is a known risk during early treatment. Weight gain is a common side effect of long-term SSRI use, and abrupt discontinuation can lead to withdrawal symptoms.
✦ 台美臨床差異
美國醫護對於 SSRI 啟動期的自殺風險評估極為嚴謹（黑盒警示），台灣則有時在門診衛教中對此風險之強調較不顯著。