[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-079":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-079","nurse-112-2-psychiatric-community-079",112,2,79,"65 歲陳女士有高血壓及高血脂之狀況，下列何項護理指導最不適當？",{"A":14,"B":15,"C":16,"D":17},"高密度膽固醇高於 50 mg\u002FdL","血壓正常後應暫停服藥觀察","控制收縮壓\u002F舒張壓低於 140 \u002F90 mmHg","可攝取大麥、燕麥及堅果等高纖食物","B",null,[],"本題考點在於高血壓合併高血脂個案的護理指導原則。高血壓用藥須長期規則服用以維持血壓穩定，血壓一旦正常也不可自行停藥，擅自停藥會導致血壓反彈升高、增加中風與心血管事件風險，本題為反向題，最不適當者為 B，故選 B。A 適當，高密度膽固醇（HDL）高於 50 mg\u002FdL 屬理想，具心血管保護作用。C 適當，一般成人血壓控制目標為收縮壓\u002F舒張壓低於 140\u002F90 mmHg。D 適當，攝取大麥、燕麥、堅果等高纖與含可溶性纖維食物有助降低膽固醇。判斷關鍵在於高血壓藥物須持續服用，不可因血壓正常而自行停藥。",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",6,1783840788526]