[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-115-1-基本護理學與護理行政-032","nurse-115-1-fundamental-nursing-032",115,1,32,"面臨末期病人即將離世，有關家屬哀傷支持之敘述，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"家屬減少探視，有助於漸進去除依附，減低分離焦慮","家屬在病人逝世後，開始進入哀傷歷程","家庭關係動態評估，有助於辨識需哀傷支持者","家屬與病人宜避免互表感受，以免加深哀傷情緒","C",null,[],"本題考點是末期照護中家屬哀傷支持的評估與介入原則。依家庭系統理論與哀傷輔導概念，家庭成員彼此互動會影響哀傷反應強度，透過家庭關係動態評估可辨識依附關係深、支持系統薄弱或有未解衝突的高危險哀傷者，據以提供個別化支持，故選 C。A 錯在減少探視會切斷情感交流、增加日後未竟事務與複雜性哀傷風險，並非漸進去除依附。B 錯在哀傷歷程於病人死亡前即已展開，即預期性哀傷，家屬在病程惡化階段就開始經歷失落反應。D 錯在鼓勵病人與家屬互表感受、完成道謝道歉道愛道別，有助情緒宣洩與意義重建，迴避表達反而使哀傷延宕。","預期性哀傷由 Lindemann 提出，讓家屬提前進行心理準備與角色重整，但若過早完成情感撤離，反而可能在病人仍在世時出現疏離。複雜性哀傷的危險因子包括突發死亡、關係矛盾或過度依賴、缺乏社會支持與同時發生多重失落，這些都需靠家庭動態評估才看得出來。Worden 的哀傷任務四步驟可作為介入架構：接受失落事實、經驗哀傷痛苦、適應逝者不在的環境、將情感重新投注於新生活。可延伸連結安寧療護的四道人生與遺族關懷追蹤。",[25,28,30,32,34],{"term":26,"count":27},"Worden 哀傷任務",2,{"term":29,"count":11},"預期性哀傷",{"term":31,"count":11},"家庭系統評估",{"term":33,"count":11},"複雜性哀傷危險因子",{"term":35,"count":11},"安寧療護家屬支持",[37,41,46,50,54,59],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-1-fundamental-nursing-033","病人因上呼吸道傳染性疾病住院，出院後其病室之終期消毒方式，下列敘述何者正確？",33,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-106-1-fundamental-nursing-029","口腔癌病人，當口腔兩頰潰瘍疼痛時，下列何種漱口水最適合？",29,106,{"webId":47,"stem":48,"number":49,"year":45,"session":27},"nurse-106-2-fundamental-nursing-043","有關影響體溫的因素，下列何者正確？①甲狀腺素的分泌會使體溫升高 ②正常人一天當中體溫變動在 0.5～2.5℃之間 ③排卵後，體溫上升 ④長期使用 Morphine 會使體溫下降 ⑤吸菸後，體溫會偏高",43,{"webId":51,"stem":52,"number":11,"year":53,"session":11},"nurse-108-1-fundamental-nursing-001","林小姐，56 歲，近日因全身痠痛、頭痛、咳嗽及發燒，疑似新型流行性感冒，醫師建議住院治療，護理人員首先應提供的衛生教育為下列何者？",108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-109-1-fundamental-nursing-045","以一般針具進行血液培養檢體採集，下列敘述何者正確？",45,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-1-fundamental-nursing-079","醫院湧入大量粉塵爆傷患，經此嚴重的災難後，醫院為推動持續品質改善機制，下列何者較適合作為事後分析工具？",79,110,"2026-08-06",1787299088316]