[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-042":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-042","nurse-113-2-psychiatric-community-042",113,2,42,"全民健康保險中，為避免被保險人醫療資源不當使用，所導致的道德危害（moral hazard），採用下列何項措施？",{"A":14,"B":15,"C":16,"D":17},"論量計酬（fee-for-service）","診斷關聯群（diagnosis-related groups）","部分負擔（copayment）","總額支付制度（global budget）","C",null,[],"本題考點在於健康保險中抑制「道德危害(moral hazard)」的財務誘因機制。道德危害指被保險人因不需自付全部費用而過度使用醫療資源;部分負擔(copayment)讓民眾就醫時自付一部分費用,直接提高使用者的價格感受、抑制不必要就醫,正對應防範道德危害的目的,故選 C。選項 A 論量計酬是「按服務量給付醫方」的支付制度,反而可能誘導供給端衝量;選項 B 診斷關聯群(DRGs)是按診斷分類包裹給付、控制醫方成本的制度,屬供給端;選項 D 總額支付制度是設定年度醫療總額上限的宏觀控管,亦針對供給端與整體費用。三者都作用於「供給方(醫療提供者)」,唯部分負擔直接作用於「需求方(被保險人)」的使用行為。判斷關鍵在於道德危害源自需求端,對策就要作用在需求端。",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",6,1783840790018]