# 一位憂鬱症病人說：「我的家人沒有我會過得更好。」護理師哪一項回應最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397460&lang=zh-tw  
> language: zh-TW  
> subject: Mental Health Concepts  
> category: PSI

## 題目

一位憂鬱症病人說：「我的家人沒有我會過得更好。」護理師哪一項回應最為適當？

## 選項

1. 你不應該這樣說，因為你的家人很愛你。
2. 試著專注在一些正面的事情上。
3. 等你感覺平靜一點，我再回來。
4. 你是在想自殺嗎？ **✔ 正確答案**

**正確答案: 4**

## 解析

當病人表達可能出現自殺意念時，直接詢問自殺問題是具有治療性且必要的。這不會灌輸自殺念頭，並有助於判斷立即的安全需求。給予保證、轉移注意力或離開，都會延誤風險評估。

## 深入解析

臨床判斷
利用病人線索、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考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實踐指引
針對直接自殺風險評估，將完整的線索模式與病人當前的穩定性、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，切勿僅根據單一線索選擇行動。

## 重要概念

- **自殺風險** — 病人可能傷害或殺死自己的可能性。
- **直接提問** — 一個清晰、具體的問題，用於明確地評估風險。
- **安全評估** — 對立即危險性、意圖、計劃、方法及保護因子的評估。

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