[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-042","nurse-115-1-fundamental-nursing-042",115,1,42,"有關臺灣病人安全通報系統的主要原則，除了保密、不究責和共同學習外，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"匿名、強制","匿名、自願","實名、自願","實名、強制","B",null,[],"本題考點是台灣病人安全通報系統的運作原則。依該系統設計，除保密、不究責與共同學習外，另兩項核心原則為匿名與自願，故選 B。所謂匿名，是通報內容不記載通報者與當事人的可辨識身分，以降低通報者的心理負擔；所謂自願，是由醫療機構與人員主動提報而非法規強制，目的在鼓勵誠實揭露、擴大通報量以累積學習素材。A 錯在強制通報會使人員為規避責任而隱匿，與不究責的精神互相矛盾。C 與 D 皆錯在實名，一旦要求具名，通報者擔心被追究或被同儕檢視，最直接的後果就是低報與漏報，系統將失去偵測潛在風險的能力。","此設計背後是病人安全的系統觀：錯誤多源於流程與制度缺陷而非個人品格，故以「對事不對人」換取真實資料。要留意與法定強制通報的區別，法定傳染病、性侵害與兒少保護等屬強制且具名通報，考題常以此對照設陷阱。通報文化的進階概念是「公正文化」，容許非蓄意的人為疏失與系統缺失免責，但對蓄意違規、魯莽行為仍須課責，兩者並不衝突。可延伸連結瑞士乳酪理論解釋多重防護層破口的疊加，以及異常事件的近端錯失（near miss）同樣值得通報的理由。",[25,28,31,33,35],{"term":26,"count":27},"病人安全通報系統",3,{"term":29,"count":30},"公正文化",2,{"term":32,"count":11},"匿名自願原則",{"term":34,"count":11},"不究責文化",{"term":36,"count":11},"瑞士乳酪理論",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-115-1-fundamental-nursing-043","王護理師產後三個月持續哺乳中，但每日上班非常忙碌，沒有時間可以擠乳，向護理長提出抗議，依勞動基準法護理長應如何處理較合宜？",43,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-106-1-fundamental-nursing-039","下列何者為造成血壓假性偏高的原因？",39,106,{"webId":48,"stem":49,"number":50,"year":46,"session":30},"nurse-106-2-fundamental-nursing-053","楊爺爺，72 歲，診斷為肺癌合併右肋、胸椎、骨盆等多處轉移，因疾病惡化處於瀕死階段，喉嚨發出臨終嘎音（death rattle），下列護理措施何者最適宜？",53,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-108-1-fundamental-nursing-011","余先生出院後，病房該如何消毒？",11,108,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-1-fundamental-nursing-055","王太太，因癌症 10 天前接受化學治療，口腔內雙頰與上顎出現白斑與破損，且口腔疼痛不敢進食，下列措施何者最適合王太太？",55,109,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-110-2-fundamental-nursing-009","髖部全關節運動，不包括下列何者？",9,110,"2026-08-06",1787299088408]