[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"freq":11},"nurse-112-1-基本護理學與護理行政-012","nurse-112-1-fundamental-nursing-012",112,1,12,"有關護理診斷的描述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"護理診斷的確立須包含健康問題、健康目標、徵象和症狀三要素","健康問題指的是護理對象本身健康問題","護理診斷名稱又分成問題焦點性、潛在危險性、健康促進性三種","健康促進性護理診斷，就是指於護理診斷前加「增進的準備度」","A",null,[],"本題考點在護理診斷的組成要素與分類。考點在於護理診斷確立需包含「健康問題（P）、病因或相關因素（E）、徵象與症狀（S）」三要素，即 PES，而非「健康目標」；健康目標屬護理計畫階段的產物，故 A 敘述錯誤，為正解。B 正確，健康問題指護理對象本身的健康狀況問題。C 正確，NANDA 護理診斷分為問題焦點型、潛在危險型、健康促進型（及症候群）。D 正確，健康促進型診斷常於名稱前加「增進...的準備度」。錯誤選項 A 誤把計畫階段的目標塞入診斷三要素，混淆了護理過程各步驟的產物。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"nurse-106-1-fundamental-nursing-001","下列何者為預防院內感染最經濟有效的方法？",106,{"webId":29,"stem":30,"number":31,"year":27,"session":11},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",2,{"webId":33,"stem":34,"number":35,"year":27,"session":11},"nurse-106-1-fundamental-nursing-003","王先生因腦血管損傷住院中，下列何種灌注溶液不適合王先生使用？",3,{"webId":37,"stem":38,"number":39,"year":27,"session":11},"nurse-106-1-fundamental-nursing-004","醫囑為 Acetaminophen 1 tab q6h p.r.n. if BT≧39℃之含義，下列敘述何者正確？",4,{"webId":41,"stem":42,"number":43,"year":27,"session":11},"nurse-106-1-fundamental-nursing-005","測量 H5N1 流感病毒感染病人生命徵象時，下列何項防護設備較不必要？",5,{"webId":45,"stem":46,"number":47,"year":27,"session":11},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,1783840774716]