[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-039":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-039","nurse-107-1-psychiatric-community-039",107,1,39,"王先生不確定是否為精神科病人，因為在街頭揮舞水果刀，被居民合力帶至醫院急診室求治，王先生見到精神科醫師，仍拿著水果刀對醫師表示：「你若敢動我，我就告你侵犯人身自由，我又沒怎樣，我只是在運動」，此時急診護理師採取的措施，下列何項最適切？",{"A":14,"B":15,"C":16,"D":17},"無法確定王先生是否為精神病人、是否有就醫需求，應讓王先生離開急診","為防範王先生的進一步傷害行為，應直接先採取約束與隔離措施","通知王先生的家人將王先生帶到精神科門診","醫師無法立即診斷，可通知警察機關前來處理","D",null,[],"本題考點是急診面對持械、精神狀態未明個案的適切處置。依安全與法定程序原則,王先生手持水果刀、尚無法確定是否為精神病人、且醫師無法立即診斷,此屬公共安全與危險行為的情境,護理師應通知警察機關到場協處以確保人身安全與後續程序,故選 D。A 讓其離開急診,忽略其持刀且有潛在危險,置公共與自身安全於不顧,不符安全維護。B 直接先行約束隔離,錯在未經合法診斷與必要程序、且對正持刀且高度激動者貿然約束,反而升高衝突與受傷風險,約束隔離須有醫囑與適應症。C 通知家人帶至門診,對當下手持凶器的緊急危險情境緩不濟急,無法即時處理安全威脅。四選項比較後,唯有 D 兼顧即時安全與適法處置。",[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",6,1783840742352]