[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-037":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-112-2-精神科與社區衛生護理學-037","nurse-112-2-psychiatric-community-037",112,2,37,"有關急性精神科病房暴力的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"口頭攻擊常是暴力行為的先兆","女性工作人員最常遭到病人的暴力攻擊","藥物處置是處理暴力行為最有效的方法","約束病人後，護理師至少每一小時評估一次病人情況代號： 5102 頁次： 8－5","A",null,[],"本題考點是急性精神科病房暴力行為的辨識與處置，最適切者為 A。暴力行為多有前驅徵象，口頭攻擊、言語威脅常是肢體暴力的先兆，及早辨識可及時介入預防，故 A 正確為正解。B 錯，遭受病人暴力攻擊者不限性別，護理人員因近距離接觸而風險高，並無「女性最常被攻擊」的定論。C 錯，處理暴力最有效的方法是預防與早期辨識、降低刺激的環境與溝通，藥物僅為輔助手段之一，而非最有效。D 錯，約束病人後為確保安全，須密集評估（依規範常為每 15 分鐘觀察一次生命徵象、肢體循環與行為），一小時一次過於稀疏。考點在於辨識「口頭攻擊是暴力先兆、及早介入」的原則。",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",6,1783840788088]