— 健康促進與維護 · MEDIUM · MCQ —
護理師照顧一位表達悲傷且對愛好失去興趣的長者。下列何者為最合適的初步護理措施？
A nurse is caring for an older adult who expresses sadness and loss of interest in hobbies. What is the most appropriate initial nursing action?
- APerform a standardized depression screening assessment✓ 正解進行標準化的憂鬱症篩檢評估
- BSuggest the client take over-the-counter herbal supplements建議病人服用非處方草藥補充品
- CIgnore the comments to avoid upsetting the client忽略這些言論以避免讓病人感到不安
- DRefer the client to a psychiatrist immediately立即將病人轉介給精神科醫師
— Explanation · 中文詳解 —
面對長者情緒困擾，首要任務是進行專業的篩檢評估（如 GDS 憂鬱量表），以判斷其症狀嚴重度。直接轉介（D）需基於評估結果；建議草藥（B）無醫學根據且可能有藥物交互作用；忽略（C）則可能錯失心理健康介入時機。
Using a standardized depression screening tool provides objective data to assess the severity of symptoms and guide further intervention. Immediate referral or ignoring the symptoms bypasses the necessary assessment phase, and herbal supplements lack evidence for efficacy and may interact with medications.
✦ 台美臨床差異
美國護理師常執行 Geriatric Depression Scale (GDS) 作為常規篩檢；台灣則多由基層診所或長照中心社工介入評估。