[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-009":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-114-1-精神科與社區衛生護理學-009","nurse-114-1-psychiatric-community-009",114,1,9,"胡先生，診斷為思覺失調症，因不停將家中東西丟到大街上，哥哥予以制止，胡先生即要攻擊哥哥。剛入住急性病房治療，下列何者為最優先的護理處置？",{"A":14,"B":15,"C":16,"D":17},"確認胡先生身邊環境與物品的安全性，進行暴力行為之評估與預防發生","直接先至保護室並給予預防性約束，以免發生自傷傷人行為","警告胡先生在醫院裡面不容許有攻擊行為發生，否則就無法出院","為表達護理師的關懷與建立信任，可先單獨與病人會談了解他為何要攻擊哥哥","A",null,[],"本題考點在於暴力風險個案入院的最優先護理處置。依精神科安全護理原則，急性期首要目標是維護病人與他人安全，且處置應由最低限制、非侵入性者優先，故應先確認環境與物品安全性並進行暴力行為評估與預防，選 A。B「直接給予預防性約束」屬最高限制手段，未經評估即約束違反最小限制原則，不宜作為第一步。C「警告否則無法出院」是威脅語氣，會升高敵意、破壞治療關係，且違反病人權益。D「單獨會談了解原因」在暴力風險未評估、安全未確保前單獨接觸病人，將護理師置於危險，時機不當。四者相較，唯有 A 兼顧安全評估與最小限制，故正解為 A。",[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",6,1783840790664]