[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"產兒科護理學","maternal-pediatric",{"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-113-1-產兒科護理學-034","nurse-113-1-maternal-pediatric-034",113,1,34,"小紅，12歲，罹患急性骨髓性白血病，治療後復發，目前處於疾病末期，她向父母發脾氣說：「為什麼生病的人是我，都是你們沒有把我照顧好！」，下列照護措施何者最適合？",{"A":14,"B":15,"C":16,"D":17},"仔細傾聽其話語，鼓勵小紅表達內心的需要","鼓勵接受目前的治療措施，降低治療造成的疼痛","鼓勵與同儕聯繫，讓其有歸屬感，並轉移焦點","說明父母與醫療團隊已經盡最大努力協助治療","A",null,[],"本題考點在於癌症末期兒童情緒宣洩時的治療性溝通。個案12歲對父母發怒指責,屬面對死亡的憤怒期情緒反應。依治療性溝通原則,此時最適當的是仔細傾聽、接納並鼓勵表達內心需要,讓情緒得到出口,故A正確。B不適當:此時談接受治療是轉移焦點且忽略當下情緒。C不適當:急著轉移焦點到同儕,等於否定與逃避其正在表達的憤怒與恐懼。D不適當:辯解父母與醫療團隊已盡力,是防衛式回應,會讓個案覺得情緒不被接納。辨識關鍵在於「先接納情緒再處理問題」。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840795791]