— 心理社會完整性 · MEDIUM · SATA —
護理師為憂鬱症病人進行心理評估。哪些跡象顯示有自我傷害的風險？（選所有適合的）
A nurse is performing a mental health assessment on a patient with depression. Which signs indicate the risk for self-harm? (Select all that apply.)
- AGiving away prized personal possessions✓ 正解贈送珍貴的個人財物
- BSudden improvement in mood after starting antidepressants✓ 正解開始服用抗憂鬱劑後情緒突然改善
- CVerbalizing that things will be better soon口頭表示事情很快就會好轉
- DIsolating from family and friends✓ 正解與家人和朋友隔離
- EIncreased interest in social activities對社交活動興趣增加
— Explanation · 中文詳解 —
憂鬱症病人的自殺風險評估是護理重點。指標包括：將貴重物品贈送他人（A），顯示病人已在交代後事；憂鬱症狀突然好轉（B），這通常是因為病人已做出自殺決定，壓力減輕而表現出異常平靜；社交退縮與孤立（D），代表病人失去與社會的連結。談論「事情會變好」（C）若非伴隨具體計畫，有時是病人嘗試正向思考的表現，而對社交活動增加興趣（E）則是病情好轉的指標，非自殺風險徵兆。
Signs indicating risk for self-harm in a depressed client include giving away prized possessions, sudden improvement in mood after starting antidepressants, and social isolation. These behaviors may suggest the client has made a decision to end their life or is detaching from support systems, whereas increased social interest is generally a positive sign.