護理師照顧一位服用抗憂鬱劑一週的重度憂鬱症病人。觀察到病人活動力增加，並開始整理個人物品。護理師應採取何種必要行動？
A nurse is caring for a client with major depressive disorder who has been on antidepressant therapy for one week. The nurse notices the client is now more energetic and has begun organizing personal belongings. Which action by the nurse is essential?
- APerform a thorough suicide risk assessment✓ 正解進行全面的自殺風險評估
- BEncourage the client to join group therapy sessions鼓勵病人參加團體治療課程
- CCongratulate the client on their improved mood恭喜病人情緒改善
- DDocument the positive response to the medication記錄對藥物的正向反應
重度憂鬱症（Major Depressive Disorder）病人使用抗憂鬱劑初期，藥物可能首先改善其精神運動性遲滯（Psychomotor retardation），使病人恢復能量，但情緒低落的改善往往較慢。此時病人仍處於憂鬱狀態，卻有了足夠的體力與動機去執行自殺計畫。護理師觀察到病人開始整理物品（可能是在處理後事），必須視為極高的自殺風險警訊，立即進行評估以確保病人安全。
The nurse must perform a thorough suicide risk assessment because increased energy and organization in a depressed client taking antidepressants can signal a high risk for suicide attempts. Although the client appears more active, they may still be depressed but now have the physical capacity and motivation to execute a suicide plan, making safety the priority over documentation or encouragement.