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檢視一位老年人的喪親時間軸，並判斷何時應將支持性哀傷照護擴大為正式評估與轉介。

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Time	Data
2 weeks after the death	The client cries during the visit, sleeps poorly, accepts meals from neighbors, and talks with an adult child each evening.個案在訪視時哭泣、睡眠不佳、接受鄰居送餐，且每晚與成年子女交談。
3 months	The client reports good and bad days, attends one support-group meeting, and is completing basic self-care with reminders.個案表示有好日子也有壞日子，參加一次支持團體聚會，並在提醒下完成基本自我照顧。
8 months	The client has stopped answering family calls, misses meals and medications, no longer leaves home, and says, 'There is no point in planning anything without my spouse.'個案已停止接聽家人電話、漏餐且漏服藥物、不再離家，並說：「沒有配偶，計畫任何事都沒有意義。」

Q1. How should the nurse interpret the overall trajectory?護理師應如何詮釋整體軌跡？

Increasing functional impairment and hopelessness that require prompt assessment功能缺損與無望感日益增加，需要立即評估 Normal grief that should never be discussed clinically正常哀傷，臨床上永遠不應討論 Recovery because eight months have passed因為已過八個月，所以是恢復

Q2. What is the nurse's priority response at the latest visit?護理師在最近一次訪視的優先反應為何？

Tell the client that grief should be over by now告訴個案哀傷現在應該結束了 Schedule only a routine annual examination僅安排常規年度檢查 Ask directly about suicide and self-harm, assess immediate safety and basic needs, and notify the clinician直接詢問自殺與自傷、評估立即安全與基本需求，並通知臨床醫師

Q3. Which follow-up plan best supports the client?哪一項追蹤計畫最能支持個案？

Avoid mentioning the spouse so the client will not become sad避免提及配偶，以免個案難過 Require participation in a single religious program要求參加單一宗教計畫 Wait for the client to recover without additional contact等待個案自行恢復，不再額外聯繫 Offer grief counseling, mental-health evaluation, support groups, and chosen family or community supports while monitoring function and safety提供哀傷諮商、心理健康評估、支持團體，以及選擇的家庭或社區支持，同時監測功能與安全

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相同主題的下一題For each nursing response to a grieving adolescent, identify whether it is supportive now …本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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