[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-003","nurse-115-1-psychiatric-community-003",115,1,3,"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？",{"A":14,"B":15,"C":16,"D":17},"加強黃小姐服用情緒穩定劑的劑量","要黃小姐安心等待出院","陪伴安撫黃小姐不安的情緒","建議延後黃小姐出院日期","C",null,[],"本題考點是出院前焦慮的護理處置。依治療性人際關係原則,病人面對一週後出院所產生的不安屬預期性焦慮,護理首要是接納其感受、陪伴並協助表達與整理情緒,再進一步做出院準備,故C最適切。A錯在思覺失調症的主要治療藥物是抗精神病藥物而非情緒穩定劑,且調整劑量屬醫師職責,加藥也非處理焦慮的適當方式;B「安心等待」屬敷衍式安慰,否定並跳過病人的情緒;D延後出院是迴避問題,無助於病人建立返家的適應能力,不符復健導向目標。","出院焦慮的處理邏輯:先處理「情緒」再處理「事情」。陪伴與傾聽能降低焦慮強度,之後才能有效進行出院準備服務(discharge planning),如返家後的服藥計畫、回診安排、社區資源連結與家屬衛教,這也是預防再住院的關鍵。對照記憶:凡選項出現「要病人放心、別想太多」多屬非治療性安慰;凡出現「擅自調整藥物劑量」多違反護理職責範圍,兩類皆可先刪。",[24,27,29,31],{"term":25,"count":26},"治療性人際關係",12,{"term":28,"count":26},"出院準備服務",{"term":30,"count":11},"預期性焦慮",{"term":32,"count":10},"護理職責範圍",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-psychiatric-community-004","病人是20歲大學重考生，從小備受呵護寵愛長大，個性內向順從，成績中等。指考失利後，出現心情低落、胃口差、失眠等症狀，醫師診斷為鬱症，住院治療 2 週後，父母認為病人需要重回補習班接受鞭策，因此辦理自動出院，病人出院後出現自殺企圖。下列敘述何者最適宜？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-115-2-psychiatric-community-050","有關慢性腎臟病飲食衛教指導，下列何者最不適當？",50,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-106-2-psychiatric-community-014","護理師照顧吳太太時有強烈的敵意，與之互動時顯不耐煩，覺得對方很像自己的婆婆，而難以和吳太太建立護病關係，有關這種關係之敘述，下列何者正確？",14,106,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-107-2-psychiatric-community-052","每 1,000 位育齡婦女平均所生的女嬰數，稱之為：",52,107,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-109-2-psychiatric-community-016","下列何項症狀屬於布洛伊勒所提 4A 的自閉症狀？",16,109,{"webId":59,"stem":60,"number":41,"year":61,"session":42},"nurse-110-2-psychiatric-community-050","有關病毒性腸胃炎之敘述，下列何者正確？",110,"2026-08-06",1787299089673]