— 健康促進與維護 · HARD · MCQ —
護理師篩檢青少年的心理健康。下列哪項發現需要立即進一步評估？
A nurse is screening an adolescent for mental health. Which finding requires immediate further assessment?
- AExpressing desire for more independence表達渴望更多獨立性
- BSudden withdrawal from hobbies and social isolation✓ 正解突然退出嗜好活動與社交孤立
- CFluctuation in mood during minor disagreements在微小爭執中情緒波動
- DSpending more time with friends than family花更多時間與朋友在一起而非家人
— Explanation · 中文詳解 —
青少年期（Adolescence）的心理發展任務在於建立自我認同與獨立性。正常行為包括尋求同儕支持、挑戰權威、情緒起伏較大及探索新興趣。然而，當青少年出現「社交隔離（Social isolation）」與「對原本熱愛的活動失去興趣（Anhedonia）」時，這極有可能是重度憂鬱症（Major Depressive Disorder）或心理崩潰的警訊。護理師必須敏銳察覺這些行為改變，因為這類退縮行為常與自殺意念密切相關，屬於需要立即進一步評估的高危險指標。
Sudden social withdrawal and anhedonia (loss of interest in previously enjoyed activities) are critical warning signs of major depressive disorder and potential suicide risk in adolescents. While mood fluctuations and seeking independence are typical developmental milestones, these specific behavioral changes require immediate further assessment to ensure client safety.