[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-精神科與社區衛生護理學-002","nurse-115-1-psychiatric-community-002",115,1,2,"向精神病人和家屬說明電痙攣療法對憂鬱症的療效和治療過程，讓他們可以充分了解後再決定簽署同意書，此時醫療人員是秉持下列那一項倫理原則？",{"A":14,"B":15,"C":16,"D":17},"自主原則","不傷害原則","誠實原則","公平原則","A",null,[],"本題考點是醫學倫理四原則中自主原則的辨識。向病人與家屬完整說明電痙攣療法的療效與治療過程,讓其充分理解後再自行決定是否簽署同意書,正是「知情同意」的實踐;而知情同意的倫理基礎即尊重病人的自主權,由本人在充分資訊下做選擇,故選A。B不傷害原則強調避免醫療行為對病人造成傷害,重點不在說明與決定權;C誠實原則雖與據實告知有關,但本題關鍵在「了解後自行決定」而非單純說真話;D公平原則涉及醫療資源的公正分配,與簽署同意書無關。","知情同意的三要件:充分告知(資訊)、病人具決定能力、自願不受脅迫,三者齊備才算尊重自主。電痙攣療法因社會觀感與侵入性,更須完整說明適應症(如重度憂鬱、抗藥性個案)、麻醉過程與短期記憶影響等。四原則速記:自主=病人作主、不傷害=別害他、行善=為他好、公平=資源分得正;考題只要看到「說明後由病人決定、簽同意書」,幾乎都指向自主原則。",[24,27,28,30],{"term":25,"count":26},"知情同意",6,{"term":14,"count":11},{"term":29,"count":10},"醫學倫理四原則",{"term":31,"count":10},"電痙攣療法",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-003","黃小姐，診斷為思覺失調症，擔心一星期後即將出院返家。下列何項護理措施最適切？",3,{"webId":38,"stem":39,"number":40,"year":9,"session":11},"nurse-115-2-psychiatric-community-049","陳太太 66 歲，被診斷高血壓已 5 年，定期用藥，目前並無不適症狀。護理師提供的指導，下列何項最不適當？",49,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-106-2-psychiatric-community-013","周同學一向從容不迫，但在面臨學位資格考時，表現非常焦慮，這種情況屬於下列何種焦慮？",13,106,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-107-2-psychiatric-community-051","有關社區衛生護理與醫院護理的差異，下列何者正確？",51,107,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-109-2-psychiatric-community-015","對憂鬱症的敘述，下列何者正確？",15,109,{"webId":57,"stem":58,"number":40,"year":59,"session":11},"nurse-110-2-psychiatric-community-049","某職場對 460 名員工進行糞便潛血篩檢，結果呈現陽性反應的有 80 名，此 80 名員工到醫院進一步檢查確診為大腸直腸癌為 30 名，另對陰性反應者 380 名進行確認，350 名確認為無大腸直腸癌，關於此疾病篩檢何者正確？",110,"2026-08-06",1787299089667]