— 心理社會完整性 · HARD · MCQ —
護理師正在評估一位憂鬱症且出現精神運動遲滯的病人，何種發現與此診斷最一致？
A nurse is assessing a client who has been diagnosed with depression and is exhibiting psychomotor retardation. Which finding is most consistent with this diagnosis?
- AIncreased psychomotor activity and agitation精神運動活動增加與激越
- BIntact reality testing despite depressed mood儘管情緒低落，現實檢驗能力完整
- CRapid speech and flight of ideas語速加快與思維奔逸
- DSlowed speech, decreased movement, and prolonged response time✓ 正解語速減慢、活動減少及反應時間延長
— Explanation · 中文詳解 —
精神運動遲滯是憂鬱症的典型症狀之一，表現為整體活動力下降，包括說話緩慢、動作減少、反應時間延長等。選項 C 和 A 分別描述了躁症或激越型憂鬱的特徵。選項 B 雖然可能存在，但並非精神運動遲滯的直接表現。
Psychomotor retardation in depression is characterized by slowed speech, decreased physical movement, and prolonged response times. These findings reflect a general reduction in overall activity levels, distinguishing it from agitation or manic symptoms.
✦ 台美臨床差異
美台護理師在評估憂鬱症時，皆會觀察病人的活動力。美國在臨床評估工具的使用上可能更標準化。