— 心理社會完整性 · HARD · SATA —
護理師在評估病人的自殺風險時,應監測哪些行為?(選所有適合的)
Which behaviors should the nurse monitor for when assessing a client for potential suicide risk? (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 a period of deep depression✓ 正解在長期深度抑鬱後情緒突然改善
- CVerbalizing desire to sleep for a long time表達想長時間睡覺的慾望
- DIncreased socialization with peers on the unit與同病房病友增加社交互動
- EWriting a detailed will and organizing financial affairs✓ 正解撰寫詳細遺囑並整理財務事宜
— Explanation · 中文詳解 —
自殺前兆包括:將貴重物品贈送他人(告別行為)、突然心情變好(因已做決定而感到釋放)、處理財務或立遺囑。選項 C 可能只是疲倦;選項 D 社交增加通常是好轉象徵,而非自殺警訊。專業人員需針對這些特徵進行密切評估。
Nurses should monitor for suicide risk indicators such as giving away prized possessions, sudden mood improvement after depression, and organizing financial affairs or writing a will. These behaviors suggest the client is making final preparations, whereas increased socialization or vague desires to sleep are less specific to imminent suicide risk.
✦ 台美臨床差異
美國護理師在臨床中更頻繁使用標準化量表(如 C-SSRS)進行自殺評估,台灣則偏向臨床經驗觀察。