[{"data":1,"prerenderedAt":71},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-076":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":44,"lastmod":70},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-075",75,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-077",77,"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":40},"nurse-108-1-精神科與社區衛生護理學-076","nurse-108-1-psychiatric-community-076",108,1,76,"有關出院準備服務的描述，下列何者錯誤？",null,{"A":21,"B":22,"C":23,"D":24},"可達到提供持續性照顧的目的","以個案為中心的轉銜機制","適用於病情穩定確定出院時進行","利用高危險篩檢表找出需服務的個案","C",[],"本題考點是出院準備服務（discharge planning）的啟動時機，屬反向題（選錯誤者）。依出院準備服務的定義，它是一項自個案入院之初（一般為入院 24 至 48 小時內）即以高危險篩檢工具評估、並貫穿整個住院期程的持續性計畫，而非等到病情穩定、確定出院日期時才開始，故 C 敘述錯誤，為本題答案。A 正確：其目的正是銜接醫院與社區、確保照護的持續性。B 正確：服務以個案及家屬需求為中心，屬跨機構的轉銜機制。D 正確：實務上以高危險群篩檢表（如高齡、獨居、多重管路、失能、再入院史）找出需介入的個案。","出院準備服務的流程可拆成五步：篩選（入院早期以高危險篩檢表找案）、評估（生理、心理、社會經濟、居家環境與照顧者能力）、擬定計畫（跨專業團隊會議，含醫師、護理師、社工、復健、營養）、執行（衛教與回覆示教、輔具與居家改造、資源轉介與連結長照）、追蹤與評值（出院後電訪或居家訪視）。核心價值是持續性照護（continuity of care）與降低非計畫性再入院率、縮短住院日數與減少照顧者負荷。高危險篩檢指標常考的有：65 歲以上、獨居或主要照顧者能力不足、日常生活功能障礙、帶管路出院（鼻胃管、尿管、氣切）、三個月內再入院、罹患慢性病需複雜藥物管理、經濟弱勢。本題的陷阱句「適用於病情穩定確定出院時進行」聽起來合理，但它違反了出院準備最根本的原則——及早介入才有時間安排資源與訓練照顧者，若等到出院前一兩天才啟動，居家護理、輔具申請與長照服務都來不及銜接。",[30,33,36,38],{"term":31,"count":32},"出院準備服務",13,{"term":34,"count":35},"持續性照護",3,{"term":37,"count":16},"高危險群篩檢表",{"term":39,"count":16},"入院時即開始評估",[41],{"id":42,"name":43},"case-management-continuity","個案管理、出院準備與連續性照護",[45,47,51,56,61,66],{"webId":9,"stem":46,"number":10,"year":15,"session":16},"有關流行病學的敘述，下列何者正確？",{"webId":48,"stem":49,"number":32,"year":50,"session":16},"nurse-109-1-psychiatric-community-013","有關鋰鹽 Lithium（Lidin®），下列何項敘述最適切？",109,{"webId":52,"stem":53,"number":54,"year":50,"session":55},"nurse-109-2-psychiatric-community-027","王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",27,2,{"webId":57,"stem":58,"number":59,"year":60,"session":55},"nurse-110-2-psychiatric-community-065","社區護理師首次訪視剛來臺 4 個月的新住民，發現個案懷孕 3 個月，下列何者為優先措施？",65,110,{"webId":62,"stem":63,"number":64,"year":65,"session":16},"nurse-112-1-psychiatric-community-029","有關智能不足的治療原則與預後，下列何者正確？",29,112,{"webId":67,"stem":68,"number":32,"year":69,"session":16},"nurse-113-1-psychiatric-community-013","根據佛洛伊德學說，人格障礙病人在肛門期受到過度的管教約束，影響心性發展。以下何者為其日後的行為模式？",113,"2026-09-29",1790672291465]