[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-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-114-3-精神科與社區衛生護理學-050","nurse-114-3-psychiatric-community-050",114,3,50,"下列那一種慢性病個案最需持續管理？",{"A":14,"B":15,"C":16,"D":17},"血糖於連續三次訪視皆在正常值的第二型糖尿病人","每日家屬都能監督服藥與測量血壓的高血壓病人","血糖不穩又不遵從服藥的糖尿病病人","已完成治療的乳癌病人","C",null,[],"本題考點在於社區慢性病個案管理的優先順序判定。依個案管理(case management)原則,資源應優先投入「病情控制不佳且自我照顧或遵從行為有問題」的高風險個案,因為這類個案併發症風險最高、最能從持續追蹤與介入獲益。C 的糖尿病病人血糖不穩又不遵從服藥,同時存在生理指標失控與遵從性問題,屬高風險族群,最需列入持續管理,故選 C。A 錯在血糖連續三次訪視皆正常,控制良好,可降級為定期追蹤即可;B 錯在有家屬每日監督服藥與量血壓,自我管理支持系統健全,非優先對象;D 錯在乳癌已完成治療,屬康復期定期追蹤個案,不屬於需高強度持續管理的失控慢性病個案。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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",6,1783840792071]