[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-032":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-110-1-精神科與社區衛生護理學-032","nurse-110-1-psychiatric-community-032",110,1,32,"黃先生 43 歲，診斷為思覺失調症，症狀經常反覆惡化，兩個月前才剛出院返家，今日又因拒服藥、自我照顧能力差、暴力攻擊家人而入院，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"入院時即須開始進行出院準備服務","護理師於病人入院時應立即主動約束病人以防再次攻擊暴力","出院前幾天才開始進行出院準備服務，以利病人記住","有鑑於病人經常反覆住院，因此建議病人應長期住院為佳","A",null,[],"本題考點為反覆住院思覺失調症病人的出院準備服務時機。考點在於辨識「入院時即應開始出院準備服務」,故選A。依出院準備服務理念,規劃應自入院即啟動,及早評估病人需求、資源與返家支持系統,以促進連續性照護,故A正確。B「入院即主動約束防暴」錯在約束屬最後手段,須在其他方式無效且有立即危險時才實施,不能一入院就例行約束。C「出院前幾天才開始」錯在延遲規劃不利銜接社區資源。D「建議長期住院」錯在違反去機構化與社區復健精神,長期住院易造成功能退化與社會隔離。",[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",6,1783840763739]