[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":10},"nurse-106-1-內外科護理學-071","nurse-106-1-medical-surgical-071",106,1,71,"唐女士，口腔癌術後狀況穩定，胰島素注射一天 4 次，鼻胃管灌食一天 6 餐，消化良好，空腹指尖血糖約 100～140 mg\u002FdL，手術前糖化血色素（HbA1c）為 9.5%。唐女士表示「我住院開刀前糖尿病是以口服藥控制，而且血糖控制很好的，我一定要注射胰島素嗎？」護理師的回答，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"「一旦開始注射胰島素，就終生需注射胰島素，沒關係，我們會教您的！」","「您手術前的糖化血色素是 9.5%，血糖控制很差喔！打針比較好。」","「目前胰島素注射對您的病情及血糖控制是有幫助的，您擔心的是什麼？」","「您很怕打針是嗎？現在血糖控制還不錯，我會請醫師幫您調整藥物。」","C",null,[],"本題考點為面對用藥疑慮時的治療性溝通技巧。個案對胰島素注射有疑慮，最適切的回應應先肯定當前治療的助益，再以開放式提問探詢其真正的擔憂，以掌握需求，故 C 兼具說明與同理、開放式提問最為恰當。A「一旦開始就終生需注射」是不正確且徒增焦慮的斷言;B 直指血糖控制很差帶有批判語氣;D 逕自承諾請醫師改藥、逾越護理角色且忽略先了解個案感受，皆非最適切，故不選。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840733924]