[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-014":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-110-2-精神科與社區衛生護理學-014","nurse-110-2-psychiatric-community-014",110,2,14,"對於缺乏病識感的思覺失調症住院病人，拒絕服藥時，下列處理何者較為適當？",{"A":14,"B":15,"C":16,"D":17},"向病人解釋此為維他命沒有副作用，只要肯服下就好","了解病人拒服藥的原因，觀察其是否有藏藥行為","警告病人不服藥，就不能出院","採鼻胃管灌藥，以確保服下藥物","B",null,[],"本題考點在缺乏病識感、拒絕服藥病人的護理處置。依用藥安全與治療性溝通原則，應先了解病人拒藥的真正原因(如副作用、妄想、否認疾病)並觀察有無藏藥行為以確保藥物確實服用，故選B最適當。A謊稱藥物是無副作用的維他命屬欺騙，破壞信任且違反知情原則；C以「不服藥就不能出院」威脅，屬脅迫語氣，會加深抗拒與敵意；D直接鼻胃管灌藥是強制手段，在非緊急、病人尚可溝通時屬過度侵入，皆不符合尊重與治療關係的處置原則。",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",6,1783840767346]