— 心理社會完整性 · EASY · MCQ —
一位重度憂鬱症病人服用氟西汀（Fluoxetine）兩週後表示：「我覺得一點也沒有比較好。」護理師最合適的回應為何？
A client diagnosed with major depressive disorder has been on fluoxetine for two weeks and mentions, 'I still don't feel any better.' Which response by the nurse is most therapeutic?
- AIt usually takes 4 to 6 weeks for this medication to show full effects✓ 正解這種藥物通常需要 4 到 6 週才能發揮完整療效
- BI will tell the doctor to increase your dosage immediately我會通知醫師立即增加您的劑量
- CYou should consider switching to a different antidepressant您應該考慮換用其他抗憂鬱藥物
- DAre you thinking about hurting yourself because of this?您是否因為這個情況而有傷害自己的念頭？
— Explanation · 中文詳解 —
選擇性血清素回收抑制劑（SSRI）如 Fluoxetine，通常需要數週才能展現治療效果。護理師應提供正確的衛教資訊，減輕病人因治療未達預期而產生的挫折感。B與C選項由醫師判斷，護理師不應擅自建議；D選項雖然重要，但此情境中病人未表達自殺意念，優先處理對藥物的認知誤差。
Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine typically require four to six weeks to demonstrate their full therapeutic effects. The nurse should provide education regarding this expected delay to reduce patient frustration and promote medication adherence.
✦ 台美臨床差異
美國護理師常執行結構化的藥物衛教，台灣醫師衛教藥物時間較短，多依賴藥師與護理師補強資訊。