# 一位憂鬱症個案說：「我的家人沒有我會過得更好。」護理師應首先給予哪項回應？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397294&lang=zh-tw  
> language: zh-TW  
> subject: Mental Health Concepts  
> category: PSI

## 題目

一位憂鬱症個案說：「我的家人沒有我會過得更好。」護理師應首先給予哪項回應？

## 選項

1. 每個人有時都會感到悲傷。
2. 你是在想自殺嗎？ **✔ 正確答案**
3. 你應該專注在正向的想法上。
4. 你的家人不會想聽到這種話。

**正確答案: 2**

## 解析

直接詢問自殺意念是具有治療性的，並有助於安全評估。這並不會灌輸自殺的念頭。輕描淡寫、給予建議或製造罪惡感可能會減少揭露並延遲風險評估。

## 深入解析

臨床判斷
使用個案線索、時機、檢驗數據及安全風險，選擇最符合直接自殺風險評估的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 題目獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
對於直接自殺風險評估，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **自殺風險** — 個案可能意圖傷害或殺死自己的可能性。
- **憂鬱症** — 一種可能包含悲傷、無望感及自殺意念的情緒障礙。
- **安全評估** — 對立即風險及所需保護措施進行的評估。

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