[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-039":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-111-1-精神科與社區衛生護理學-039","nurse-111-1-psychiatric-community-039",111,1,39,"承上題，對王小姐因藥物副作用產生的代謝症候群，下列何項護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"瞭解 clozapine 產生糖尿病的危險性，只需追蹤服藥後 1 年之空腹血糖即可","瞭解 clozapine 對尿酸的影響，建議採用低普林飲食","瞭解流口水是 clozapine 造成的代謝症候群問題之一，建議醫師變更藥物","瞭解 clozapine 對體重上升的影響，開始服藥後需持續提供病人營養及運動諮詢","D",null,[],"本題考點在 clozapine 體重／代謝副作用的長期護理。依代謝副作用管理原則，clozapine 顯著增加體重與代謝風險，開始服藥後須持續提供營養及運動諮詢以預防及控制代謝症候群，故選 D。考點在於辨識『長期、持續的生活型態介入』。A 認為只需追蹤服藥後 1 年空腹血糖即可，監測應在基準、數週、數月及後續定期進行，且不限單次一年，故錯；B 將問題導向尿酸與低普林飲食，代謝症候群關鍵在血糖、血脂與體重而非尿酸，方向錯誤；C 將流口水誤列為代謝症候群並據此建議換藥，流涎屬另一類副作用且不必然需換藥，歸類錯誤。故選 D。",[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",6,1783840785693]