[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-106-2-精神科與社區衛生護理學-038","nurse-106-2-psychiatric-community-038",106,2,38,"張先生 70 歲，獨居，因為面臨居住幾十年的違章建築要被拆除，張先生一直以死抗議，這天因為表示要自焚，被鄰居送來精神科病房住院進行自殺防範，關於自殺防範護理措施，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"依據評估張先生的自殺危險程度，護理師應採取每 15 分鐘密切觀察","依據評估張先生的自殺危險程度，建議張先生請看護，採一對一陪伴","協助張先生與政府單位溝通，延緩拆除居所","儘早進行安置張先生計畫，建議轉慢性病房","A",null,[],"本題考點為自殺高危個案的密切觀察護理措施。依自殺防範原則,對經評估具自殺危險性的住院病人,護理師應主動負起密切觀察之責,通常採每 15 分鐘定時巡視觀察(高危者甚至一對一持續監護),以確保安全,故選 A。B 將監護責任外包給家屬請看護,護理師不應把安全防範主責轉嫁,且非專業人力難確保防範品質;C「協助與政府溝通延緩拆除」屬社會問題處理,雖有助長遠壓力源,但非住院當下防自殺的首要護理措施;D「儘早安置、轉慢性病房」在急性自殺危機未解除前即談轉出,忽略立即安全需求,時機不當。判斷關鍵在於自殺防範的護理主責與觀察頻率。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"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":28,"stem":29,"number":10,"year":9,"session":22},"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？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"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":22},"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":22},"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":22},"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",6,1783840738573]