[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-038":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-111-2-精神科與社區衛生護理學-038","nurse-111-2-psychiatric-community-038",111,2,38,"陳女士，診斷為思覺失調症，因擅自停藥致病情復發，已入院治療一個月，預計下週辦理出院，有關出院準備的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"要求家屬完全負起監督病人服藥的責任","安排病人接受職業訓練，出院後謀生","教導家屬凡事皆予代勞，以預防病人再度發病","引導病人與家屬了解精神疾病規則服藥的重要性","D",null,[],"本題考點是思覺失調症病人的出院準備服務。個案因擅自停藥導致復發,依復發預防原則,最關鍵的介入是引導病人與家屬共同了解規則服藥對預防復發的重要性,提升病識感與服藥順從度,故 D 最適當。A 錯在要求家屬「完全負起」監督服藥責任,忽略病人自我管理能力的培養,也造成家屬過度負荷,服藥責任應由病人為主、家屬支持。B 錯在職業訓練須依病人功能與復元階段評估安排,且未針對此次復發主因(停藥),非出院準備的優先重點。C 錯在教導家屬凡事代勞會剝奪病人獨立功能、增加依賴與退化,違反精神復健「維持最大自我功能」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",6,1783840786476]