[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-113-1-精神科與社區衛生護理學-018","nurse-113-1-psychiatric-community-018",113,1,18,"廖奶奶，84歲，獨居，三個月前經歷結縭60年的老伴過世，面帶愁容、不與人打招呼。廖奶奶向女兒表示自己不想再吃藥了，活著沒有意思。評估廖奶奶的精神健康狀況後，下列何者應為最優先的護理處置？",{"A":14,"B":15,"C":16,"D":17},"了解廖奶奶對於伴侶離世的內心感受，協助抒發與轉移注意","進一步評估廖奶奶的自殺意念與計畫，防範自殺危險","陪伴廖奶奶透過緬懷過往記憶，重新找到價值與存活意義","儘快安排廖奶奶入住護理之家，提供緊急密切的生理照護","B",null,[],"本題考點在於老年喪偶憂鬱個案的自殺危險評估優先性。依自殺防治原則與馬斯洛需求層級,安全需求優先於心理社會層面介入;廖奶奶具多重自殺高危險因子(高齡、獨居、近期喪偶、憂鬱表現),且已說出「不想再吃藥、活著沒有意思」的消極意念,此時最優先是直接評估其自殺意念強度與具體計畫,以防範立即危險,故選 B。A 了解感受、協助抒發屬支持性會談,重要但須在確認安全之後;C 緬懷治療(懷舊治療)適合穩定期提升生命意義,非危機當下首務;D 逕自安排入住護理之家未經評估也未處理自殺風險,且剝奪個案自主決定權。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"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？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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",6,1783840789332]