# 一名因憂鬱症住院的個案說：「我的家人沒有我會更好。」護理師的優先回應為何？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393686&lang=zh-tw  
> language: zh-TW  
> subject: Mental Health Concepts  
> category: PSI

## 題目

一名因憂鬱症住院的個案說：「我的家人沒有我會更好。」護理師的優先回應為何？

## 選項

1. 你應該專注在生命中正向的事情。
2. 很多人住院時都會感到難過。
3. 我會給你隱私，讓你好好休息。
4. 你是否正在想自殺，或有計畫傷害自己？ **✔ 正確答案**

**正確答案: 4**

## 解析

暗示死亡或無價值感的話需要直接評估自殺風險。清楚詢問自殺想法、計畫、方法與意圖不會把想法植入個案心中，且是安全優先。淡化、給予獨處或轉向正面可能錯失立即風險。

## 深入解析

臨床判斷
間接自殺語句需要先直接具體評估，再考慮安慰或隱私。

記憶重點
提到死亡，就直接問。

## 臨床情境

實務指引
自殺安全評估需直接詢問想法、計畫、方法、意圖與保護因子，並依需要採取安全措施。

注意
若個案可能有自傷風險，不可承諾保密。

## 重要概念

- **自殺意念** — 關於死亡、自傷或自殺的想法，需要安全評估。
- **自殺風險評估** — 直接評估自殺想法、計畫、方法、意圖、過去嘗試與保護因子。
- **治療性溝通** — 有目的地驗證感受並收集安全關鍵資訊的溝通。

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