[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-025":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-025","nurse-113-1-psychiatric-community-025",113,1,25,"吳先生，因住院期間多次企圖割腕自殺，必須採取保護約束之措施。有關約束處置之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"需有醫師開立醫囑，才能給予約束","至少每15分鐘探視病人一次","每2小時評估病人是否可以解除保護約束","應持續約束病人，直到自殺意念消失","D",null,[],"本題考點在於保護約束的正確執行原則,辨識不當敘述。依精神衛生法與身體約束照護規範,約束是「不得已的最後手段」,須以最小限制、最短時間為原則,達到目的(急性危險解除)即應儘早解除;「持續約束直到自殺意念消失」錯誤,因自殺意念可能持續數週甚至更久,以意念消失為解除條件等於長期拘束,嚴重侵害人身自由並增加合併症(循環障礙、壓傷、吸入性肺炎)風險,故最不適當為 D。A 正確,約束屬醫療處置,須有醫師醫囑(緊急時可先執行後補醫囑);B 正確,約束期間至少每 15 分鐘觀察一次病人狀況與肢體循環;C 正確,應定時(如每 2 小時)重新評估約束必要性並鬆綁活動肢體。",[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",6,1783840789411]