[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-019":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-019","nurse-106-1-psychiatric-community-019",106,1,19,"丁小姐使用鋰鹽治療，血中鋰鹽濃度已達到 1.2 mEq\u002FL，護理師應優先採取下列何項措施？",{"A":14,"B":15,"C":16,"D":17},"已達中毒的濃度，應立即暫停給藥","持續服用，但應密切監測血中鋰鹽濃度是否上升","通知醫師，立即減藥，以防中毒","立即停藥，並補充體液，觀察是否出現中毒症狀","B",null,[],"本題考點在鋰鹽血中濃度的治療範圍判讀。丁小姐血中鋰鹽 1.2 mEq\u002FL,仍落在治療濃度上限(一般 0.6–1.2 mEq\u002FL)之內、尚未達中毒閾值(通常 >1.5 mEq\u002FL),故應持續服用,但因已接近上限,須密切監測濃度變化,選B。A稱「已達中毒濃度立即停藥」判讀錯誤,1.2 尚屬治療範圍。C「通知醫師立即減藥」在未超標時屬過度反應,無臨床指徵。D「立即停藥並補充體液、觀察中毒症狀」是真正中毒時的處置,施用於尚在治療範圍者屬反應過度,故A、C、D皆誤判濃度。",[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",6,1783840734868]