[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-027":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-113-2-精神科與社區衛生護理學-027","nurse-113-2-psychiatric-community-027",113,2,27,"居家護理師發現一位老年個案有多重用藥狀況，下列護理措施何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"清點完藥物後，多出的請個案自行丟棄","評估個案是否有藥物交互使用的副作用症狀","評估個案每日服用藥物狀況","評估個案用藥知識","A",null,[],"本題考點在於居家多重用藥(polypharmacy)個案的用藥安全管理原則,屬反向題,要找出「最不適當」的措施。錯誤敘述為 A:清點後多出的藥物請個案自行丟棄。藥物屬須妥善處理的廢棄物,任意丟棄可能造成環境污染、他人誤食或個案日後又翻找服用,正確做法是協助回收至藥局或衛教正確處置,而非放手讓個案自行丟棄,故選 A。選項 B 評估是否出現藥物交互作用副作用症狀,正是多重用藥最需監測的核心,適當;選項 C 評估每日實際服用狀況(含自行加減、漏服),能掌握順從性,適當;選項 D 評估用藥知識,可找出認知不足並據以衛教,適當。三個正確選項都圍繞「評估」與「安全監測」,唯 A 是處置上的疏失。",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",6,1783840789875]