[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"精神科與社區衛生護理學","psychiatric-community",{"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-精神科與社區衛生護理學-016","nurse-106-1-psychiatric-community-016",106,1,16,"王先生，32 歲，診斷為思覺失調症（schizophrenia），入院第 3 天，白天躺床拒絕參加病室活動，表示自己晚上都睡不好，因為平時沒那麼早睡，醫院作息太早睡了，很不習慣。為協助王先生改善睡眠，下列那一項措施最適合？",{"A":14,"B":15,"C":16,"D":17},"睡前吃一些小點心，以利促進睡眠","鼓勵王先生晚上 10 點再上床，即使不想睡也要躺著，自然就會睡著","為了避免晚餐後因為疲累就上床睡覺，建議在晚餐後喝一杯茶以維持就寢前的清醒","安排王先生參與病室活動，減少白天躺床時間情況題：丁小姐 20 歲，罹患雙相情緒障礙症，未婚。請依上文回答第 17 題至第 20 題：","D",null,[],"本題考點在思覺失調症病人睡眠障礙的非藥物護理措施。王先生白天躺床、夜間睡不著,屬睡眠—清醒週期紊亂,最適切的是安排他參與病室活動、減少白天躺床時間,增加日間活動量與日照刺激,以重建正常睡眠驅力,故選D。A睡前吃點心易造成腸胃負擔、不利入睡,並非首選。B「不想睡也躺著」會強化床與清醒的連結(牴觸刺激控制原則),反而加重失眠。C晚餐後喝茶,茶含咖啡因會使中樞更清醒、延後入睡,方向完全相反,故A、B、C皆不利睡眠。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840734838]