[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-013":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-013","nurse-115-1-psychiatric-community-013",115,1,13,"​林 先生，躁症發作（manic episode）住院，在病房客廳對著病友們滔滔不絕的批判醫護人員、醫院設施，並表示要投訴媒體。下列何項最適宜此時護理處置？",{"A":14,"B":15,"C":16,"D":17},"​將 林先生帶開，陪伴參加病房歌唱活動","​轉 知被批判的醫護人員，改善對林先生的態度","​持 續傾聽林先生的抱怨，並給予肯定","​提 供事實，澄清林先生所批判內容","A",null,[],"本題考點是躁症發作病人的行為處置。躁症病人情緒高昂、易怒、精力過剩且易受環境刺激,當其在公共區域滔滔批判並可能鼓動病友時,適切作法是溫和地將病人帶離刺激情境,並引導其將過剩精力轉向建設性活動(如歌唱、書寫、體能活動),既降低環境刺激又提供能量出口,故A最適宜。B順著批判內容要求人員改變態度,等於強化病人的誇大與操縱行為;C持續傾聽並給予肯定會火上加油,增強其滔滔不絕;D躁期與病人爭辯澄清事實,徒增衝突且無效。","躁症護理的三大方向:減少刺激(單人房、降低聲光與人群)、引導能量(安排消耗體力且非競爭性的活動,避免輸贏刺激情緒)、溫和設限(對操縱、誇大言行不強化也不硬碰)。飲食上因病人靜不下來,提供可攜帶的高熱量手拿食物與水分。本題「帶開+參加活動」正是「減少刺激+引導能量」的組合;而「澄清、爭辯、講道理」在急性躁期幾乎都是錯誤選項,因病人的判斷力與現實感此時無法接收。",[24,27,30,33],{"term":25,"count":26},"躁症發作",8,{"term":28,"count":29},"設限技巧",4,{"term":31,"count":32},"降低環境刺激",3,{"term":34,"count":10},"能量引導與建設性活動",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-014","吳先生，診斷為思覺失調症，近期被害妄想嚴重，拒絕服藥，因擔心鄰居窺看，將所有窗戶都貼上牛皮紙。下列何項居家護理處置最適切？",14,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-010","慢性間質性膀胱炎，最常見於那一種物質使用障礙症病人身上？",10,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-psychiatric-community-024","老年失智症病人會出現黃昏症候群（sundown syndrome），係指下列何種現象？",24,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-psychiatric-community-062","王先生說：「我知道我可以做到每天健走 30 分鐘，而且一週後將可達到減輕 0.5 公斤的目標」，根據 Pender 健康促進模式，以上敘述是屬於何種要素？",62,107,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-109-2-psychiatric-community-026","下列有關社區精神復健的照顧重點敘述，何者最適切？",26,109,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-110-2-psychiatric-community-060","下列何種食品添加物會引起類交感神經興奮？",60,110,"2026-08-06",1787299089799]