[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-050":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-050","nurse-113-2-psychiatric-community-050",113,2,50,"社區護理師進行居家訪視為張先生測量血壓，血壓值為 190\u002F98 mmHg，張先生表示頭痛、視力模糊，下列護理處置何者最適當？",{"A":14,"B":15,"C":16,"D":17},"建議張先生泡熱水澡放輕鬆","建議張先生立即就醫","建議張先生吃少油少鹽飲食","建議張先生外出散步","B",null,[],"本題考點在於居家訪視中辨識「高血壓急症合併標的器官症狀」時的適當處置。個案血壓 190\u002F98 mmHg 且合併頭痛、視力模糊,已出現可能的腦部與視網膜等標的器官受影響徵象,屬須立即醫療評估與降壓處理的緊急情況,護理師應協助其儘速就醫,故選 B。選項 A 泡熱水澡會使周邊血管擴張、可能引發姿勢性變化與意外,且延誤處置,不適當;選項 C 少油少鹽飲食屬長期血壓控制的生活衛教,無法處理當下急症;選項 D 外出散步在血壓過高且已有神經眼部症狀時反而增加風險,不適當。判斷關鍵在於分辨「無症狀高血壓的長期管理」與「合併症狀的高血壓急症需即時就醫」兩種層級。",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",6,1783840790087]