[{"data":1,"prerenderedAt":70},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-068":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":42,"lastmod":69},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-067",67,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-069",69,"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":16,"concepts":38},"nurse-108-1-精神科與社區衛生護理學-068","nurse-108-1-psychiatric-community-068",108,1,68,"李先生重度失能，意識清楚，使用存留導尿管。近日僱用一位首次到臺灣的外籍看護工，執行居家照顧，社區衛生護理人員家訪時，想了解外籍看護工執行導尿管護理狀況，下列何種評估方式最為適切？",null,{"A":21,"B":22,"C":23,"D":24},"請外籍看護工說明導尿管護理流程","觀察外籍看護工實際導尿管護理流程","用護理技術核對表由家屬評核","詢問李先生外籍看護工執行狀況","B",[],"本題考點是照顧技能的評值方法選擇，屬認知、情意與技能三領域中技能領域的評量。依技能領域評量原則，精神動作技能必須以實地操作觀察（回覆示教）才能確認步驟正確性與無菌技術是否落實，口頭陳述只能反映知識而非實際操作，故選 B。A 請看護工說明流程僅評到認知層面，說得出不代表做得對，且首次來臺存在語言表達障礙。C 由家屬以核對表評核，家屬未受專業訓練，無法判斷無菌技術與導尿管固定是否正確。D 詢問案主李先生屬間接資料，個案臥床且視角受限，難以觀察完整照護步驟。","評量方法要對應學習領域：認知領域（知識）用口試、筆試、問答；情意領域（態度）用觀察互動、態度量表、自陳問卷；技能領域（精神動作）用回覆示教與實作評核表（checklist）由專業人員評分。本題把三者混在選項裡，是典型的干擾設計。存留導尿管照護的評核重點可作為延伸複習：洗手與手套使用、尿管與尿袋接頭勿隨意分離、尿袋恆低於膀胱高度且勿觸地、導管固定於大腿避免牽扯與尿道壓迫、每日以清水與中性肥皂清潔會陰與尿道口而非常規使用優碘、維持密閉引流系統以降低導尿管相關泌尿道感染（CAUTI）風險、鼓勵足量水分。另一層考點是文化與語言：面對首次來臺的外籍看護工，實地示範與回覆示教同時解決了語言隔閡與技能查核兩個問題，這也是為何觀察法在此情境中優於任何口語方法。",[30,32,34,36],{"term":31,"count":16},"技能領域評量",{"term":33,"count":16},"回覆示教(return demonstration)",{"term":35,"count":16},"存留導尿管照護",{"term":37,"count":16},"導尿管相關泌尿道感染(CAUTI)",[39],{"id":40,"name":41},"health-education","衛生教育與教學方法",[43,45,50,55,60,65],{"webId":9,"stem":44,"number":10,"year":15,"session":16},"喪偶的方女士帶著兒子，與離婚且育有一女的袁先生結婚，他們的家庭是屬於下列那種家庭類型？",{"webId":46,"stem":47,"number":48,"year":49,"session":16},"nurse-109-1-psychiatric-community-005","林先生，診斷思覺失調症，表情緊張地對護理師說：「我都沒跟別人說話，但是別人都可以知道我在想什麼，知道我所有的秘密。」林先生的描述最符合下列那個症狀？",5,109,{"webId":51,"stem":52,"number":53,"year":49,"session":54},"nurse-109-2-psychiatric-community-019","丁小姐害怕服鋰鹽，擔心青春痘與發胖的副作用，下列何種護理處置最為適切？",19,2,{"webId":56,"stem":57,"number":58,"year":59,"session":54},"nurse-110-2-psychiatric-community-057","有關衛生教育的評價，下列敘述何者正確？",57,110,{"webId":61,"stem":62,"number":63,"year":64,"session":16},"nurse-112-1-psychiatric-community-021","趙小姐診斷為思覺失調症，以下針對思覺失調症的敘述，何者正確？",21,112,{"webId":66,"stem":67,"number":48,"year":68,"session":16},"nurse-113-1-psychiatric-community-005","有關認知行為治療的敘述，下列何者最適切？",113,"2026-09-29",1790672291353]