[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-109-2-精神科與社區衛生護理學-080","nurse-109-2-psychiatric-community-080",109,2,80,"張老太太是中度失智症個案，近日家屬對個案常尿濕褲子而困擾，有關社區護理師的護理指導，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"避免自尊受挫，建議為個案包成人尿布","避免過多液體攝取，建議 1,500 mL 以下","定時帶個案如廁","建議為個案使用束腹帶","C",null,[],"本題考點是中度失智症個案尿失禁的護理指導。依失智照護原則，中度失智者的尿失禁多屬功能性失禁(認知退化致無法及時如廁),最適當的措施是「定時帶個案如廁(排尿訓練)」以建立規律、減少失禁，故正解為 C。考點在於選擇維持自主與尊嚴的非藥物介入。A「包成人尿布」雖便利但屬被動處置，易致皮膚問題與依賴、傷及自尊，非首選故排除。B「限制液體 1,500 mL 以下」錯誤，過度限水可能導致脫水與泌尿道感染，不宜作為主要對策故排除。D「使用束腹帶」屬約束措施，與失禁處置無關且損及尊嚴與安全故排除。因此定時如廁是兼顧功能維持與尊嚴的最適當指導。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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",6,1783840757034]