[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-038":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-107-1-精神科與社區衛生護理學-038","nurse-107-1-psychiatric-community-038",107,1,38,"林小姐是高功能自閉症個案，近日因為找工作受挫，感到無助與無望並有自殺意念，家人要求住院治療，但是病人拒絕住院，當護理師在面對自殺議題時，所應抱持的態度，下列何項敘述最適切？",{"A":14,"B":15,"C":16,"D":17},"自殺是個人的選擇，應尊重個人的自主權","自殺行為是出於個人自由意志，無法防範自殺","身為護理師應運用護理專業，盡最大可能防範個人自我傷害","高功能自閉症個案，不應被強制住院防範自殺","C",null,[],"本題考點是護理師面對自殺議題應持的專業態度。依自殺防治的專業倫理與生命保護原則,自殺意念多是可介入、可預防的危機狀態,護理師應運用專業盡最大可能防範個案自我傷害,故選 C。A 主張「自殺是個人選擇,應尊重自主權」錯在把急性自殺危機等同於理性自主決定,忽略此時判斷常受精神症狀影響,且生命保護優先。B 認為「自殺出於自由意志、無法防範」是消極放棄,與自殺可預防的實證相悖,亦違背護理照護責任。D 主張「高功能自閉症個案不應被強制住院防範自殺」錯在以診斷否定必要的保護性處置,當有明確自傷風險時,依法可採保護措施,不因其為高功能自閉症而豁免。四選項比較後,僅 C 符合積極防治與生命保護的專業立場。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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",6,1783840742335]