— 心理社會完整性 · MEDIUM · MCQ —
護理師與一位診斷為重度憂鬱症的個案交談。下列哪項觀察顯示該個案的自尊心開始改善？
A nurse is interviewing a client who has been diagnosed with major depressive disorder. Which observation indicates the client is beginning to experience improved self-esteem?
- AThe client refuses to attend group activities個案拒絕參加團體活動
- BThe client spends more time sleeping個案花更多時間睡覺
- CThe client initiates a conversation with a peer✓ 正解個案主動與同儕交談
- DThe client expresses guilt about past mistakes個案表達對過去錯誤的罪惡感
— Explanation · 中文詳解 —
重度憂鬱症（Major Depressive Disorder）個案常見的臨床特徵包括社交退縮（social withdrawal）、無價值感與低自尊。自尊改善的指標通常反映在個案開始與環境產生連結，並展現出主動社交的意願。這代表個案內在能量提升，願意走出自我的負面情緒框架，嘗試與他人建立互動，這是治療進展的重要心理指標。
Initiating a conversation with a peer indicates improved self-esteem and increased social engagement, suggesting a reduction in depressive withdrawal. Refusing activities, excessive sleeping, or expressing guilt are signs of ongoing depression and low self-worth.