[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-019":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":47,"lastmod":73},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-018",18,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-020",20,"psychiatric-community",{"id":13,"webId":14,"year":15,"session":16,"subject":4,"number":17,"stem":18,"scenario":19,"carryOver":19,"options":20,"answer":25,"answerNote":19,"images":26,"explanation":27,"explanationDeep":28,"topics":29,"freq":32,"concepts":43},"nurse-108-1-精神科與社區衛生護理學-019","nurse-108-1-psychiatric-community-019",108,1,19,"劉先生因患憂鬱症，住院期間不言不語，不吃不喝，護理人員與其會談時，劉先生都閉口不說話，最合適的護理措施為下列何者？",null,{"A":21,"B":22,"C":23,"D":24},"鼓勵劉先生下床參與病房作息","短暫而多次的陪伴劉先生","安排住多人的病房以增加外界刺激","多探詢病人的心情與感受","B",[],"本題考點是重度憂鬱症合併木僵或退縮個案的接觸原則。依憂鬱症護理原則,病人此時精神動作遲滯、能量極低,長時間會談會超出其負荷,而完全不接觸又會加深被遺棄感,因此採取短暫而多次的陪伴,即使沉默相伴也傳達接納與不放棄的訊息,是建立信任的合適起點,故選 B。A 直接鼓勵下床參與病房作息在病人尚無法言語互動的階段要求過高,失敗經驗會加重無價值感;C 安排多人病房增加外界刺激會使已無法處理刺激的病人更退縮,且不符合其耐受度;D 多探詢心情與感受屬連續追問,在病人閉口不語時形成壓力,易被經驗為被逼迫而非被了解。","與退縮個案接觸的技巧可記為「短、頻、穩、不逼」:每次時間短、頻率高、時間點固定可預期、允許沉默不強迫回應。開場宜用簡單具體的陳述句而非開放式提問,例如說明自己的名字、來意與停留時間,並在離開前預告下次何時再來,這種可預測性本身就是支持。此外,憂鬱症病人最需要優先評估的是自殺風險,教科書提醒兩個高危時段:住院初期,以及治療開始後精神動作遲滯先改善而情緒尚未回升的階段,因為此時病人恢復了執行計畫的能量。生理層面則須同步監測進食、飲水、排泄與睡眠,不吃不喝者需注意脫水與電解質不平衡。可連結概念:自殺風險評估與安全契約、憂鬱性木僵、ECT 的適應症、抗憂鬱劑起效時程約 2 至 4 週。",[30,33,36,39,41],{"term":31,"count":32},"自殺風險評估",8,{"term":34,"count":35},"憂鬱症護理",3,{"term":37,"count":38},"精神動作遲滯",2,{"term":40,"count":16},"短暫而頻繁的陪伴",{"term":42,"count":16},"治療性沉默",[44],{"id":45,"name":46},"depression","憂鬱症",[48,50,54,59,63,68],{"webId":9,"stem":49,"number":10,"year":15,"session":16},"承上題，護理人員對劉先生的溝通內容，下列何者最適宜？",{"webId":51,"stem":52,"number":53,"year":15,"session":38},"nurse-108-2-psychiatric-community-036","有關多元與安全醫療照護環境的敘述，下列何者正確？",36,{"webId":55,"stem":56,"number":57,"year":58,"session":16},"nurse-109-1-psychiatric-community-050","某學者找無罹患過敏性鼻炎的學童，居住於高濃度二氧化硫環境的學童視為暴露組，居住在二氧化硫濃度為環境背景值的學童當非暴露組，追蹤 6 年後分析二組學童罹患過敏性鼻炎的相對危險性（relative risk）為 3.0，請問最合適的推論為：",50,109,{"webId":60,"stem":61,"number":32,"year":62,"session":38},"nurse-110-2-psychiatric-community-008","有關抗精神病藥物的敘述，下列何者藥理作用最能歸屬於「第二型及第三型多巴胺特別性接受器阻斷劑（specific D 2 \u002FD 3 antagonist）」？",110,{"webId":64,"stem":65,"number":66,"year":67,"session":38},"nurse-111-2-psychiatric-community-052","某社區糖尿病盛行率高但運動風氣不佳，社區護理師邀請奧運國手拍攝規律運動的宣導短片，引發社區動力。這是使用下列那一種方法？",52,111,{"webId":69,"stem":70,"number":71,"year":72,"session":35},"nurse-112-3-psychiatric-community-006","世界衛生組織（WHO）近年來重視精神健康領域，建議以「社區」為主，建立「精神健康」的三級預防體系，提供精神疾病復健所需的社會資源，下列常見的社區化照護模式，何者錯誤？",6,112,"2026-09-29",1790672290710]