— 心理社會完整性 · MEDIUM · MCQ —
個案向護理師說：「我覺得人生沒什麼意義了。」護理師最適當的初步回應為何？
A client tells the nurse, 'I feel like life is not worth living anymore.' What is the most appropriate initial response by the nurse?
- AEverything will be better soon, don't worry一切很快就會好轉，別擔心
- BLet's talk about your family and friends我們來談談你的家人和朋友吧
- CWhy do you feel this way about your life?你為什麼會對人生有這種感覺？
- DAre you thinking about hurting yourself?✓ 正解你有考慮傷害自己嗎？
— Explanation · 中文詳解 —
護理師面對自殺意念或絕望感的個案，首要重點是「安全評估」。直接詢問是否有自殺意圖或傷害自己的念頭（含計畫），是評估危險程度的關鍵。A 為虛假的希望，C 為要求理由，容易讓個案防衛，B 為轉移話題，皆非適切的危機處理。
The priority is immediate safety assessment for suicide risk. Directly asking about self-harm allows for accurate evaluation of intent and necessary intervention. Other options provide false reassurance, change the subject, or use judgmental questioning that may hinder communication.
✦ 台美臨床差異
美台護理教育均高度重視直接評估自殺意圖，差別在於美國法律規範明確的通報路徑，台灣則多遵循醫院內部危機處理流程。