[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-010","nurse-115-1-psychiatric-community-010",115,1,10,"有關病人保護約束隔離期間的護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"每30分鐘觀察病人狀況","滿足基本生理需求","不需要醫囑","打開監視器觀察，不須現場探視","B",null,[],"本題考點是保護性約束與隔離期間的護理措施。依精神衛生法及護理常規,約束隔離是限制人身自由的醫療處置,期間仍須維護病人的基本生理需求與尊嚴,包括進食、飲水、如廁、姿位舒適與皮膚完整,故B正確。A錯:約束隔離期間應至少每15分鐘觀察一次病人的生命徵象、肢體循環與情緒行為,每30分鐘間隔過長;C錯:約束與隔離必須有醫囑,並完整記錄原因、時間與過程;D錯:監視器僅是輔助工具,仍須定時親自到場評估與探視,不可取代現場觀察。","約束隔離的原則可整理為「最後手段、最小限制、最短時間」:先嘗試言語安撫、降低環境刺激等替代措施,無效且有安全之虞時才依醫囑執行,並定時評估是否符合解除條件、儘早解除。護理紀錄須載明行為誘因、替代措施、醫囑、執行時間、每15分鐘的觀察內容與解除時間,這也是法律與醫療爭議時的重要依據。基本需求照護(進食、飲水、如廁、翻身)不因約束而中斷,正是「限制自由但不剝奪人權」的體現。",[24,27,29,31,33],{"term":25,"count":26},"精神衛生法",20,{"term":28,"count":10},"保護性約束與隔離",{"term":30,"count":10},"每15分鐘觀察原則",{"term":32,"count":10},"醫囑必要性",{"term":34,"count":10},"基本生理需求維護",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-011","謝先生，診斷為雙相情緒障礙症，因要求外出抽菸未獲同意，在病室內摔東西。下列何項護理措施最適宜？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-007","會談中護理師說：「你有什麼事想告訴我？」「我們從那兒談起？」這屬於治療性溝通中的何種技巧？",7,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-psychiatric-community-021","有關處於「譫妄」（delirium）狀態病人的護理目標，下列何者應優先處理？",21,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-psychiatric-community-059","有關社區健康營造的敘述，下列何者正確？①希望能改善民眾健康狀況與生活品質 ②希望透過社區發展方式讓民眾能解決社區健康議題 ③希望能發揮民眾自決、自主與自助的力量 ④最終目的是改變社區環境",59,107,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-109-2-psychiatric-community-023","楊女士 25 歲，半個月以來情緒高昂，不斷參加社交活動，一直找人講話，但話題常跳躍，若別人聽不懂，就生氣罵人，晚上不睡覺，半夜外出，家人擔心安危，故入院治療。下列何者最可能為楊女士的症狀？",23,109,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-110-2-psychiatric-community-057","有關衛生教育的評價，下列敘述何者正確？",57,110,"2026-08-06",1787299089752]