[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-115-1-精神科與社區衛生護理學-014","nurse-115-1-psychiatric-community-014",115,1,14,"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？",{"A":14,"B":15,"C":16,"D":17},"通知警察強制送醫","與居家治療團隊討論處置","建議病人搬家","教導鄰居自我安全防護","B",null,[],"本題考點是社區精神病人的居家護理處置。個案被害妄想加劇、拒絕服藥且生活功能受影響,居家護理師不宜單獨決定處置,應回到居家治療團隊(醫師、護理師、社工等)共同評估病情變化,討論調整治療計畫,如增加訪視頻率、評估長效針劑或啟動社區強制治療評估等,故B最適切。A錯:個案目前無明確自傷傷人之緊急危險,尚不符合強制送醫的要件;C錯:搬家不能改變妄想本身,治標不治本且不可行;D錯:教導鄰居防護形同標籤病人具危險性,加深污名,也非居家護理的處置重點。","依精神衛生法,強制住院的要件是「嚴重病人+有自傷或傷害他人之虞+拒絕接受全日住院治療」,並須經專科醫師鑑定與審查程序;僅妄想與拒藥、無立即危險時,適當路徑是強化社區端的介入。居家治療的價值正在於團隊合作:醫師評估藥物(拒服口服藥者可討論長效針劑)、護理師維繫信任與監測病情、社工處理家庭與資源。此題也提醒:社區精神護理的決策原則是「團隊共議、最小強制、去污名化」,凡單打獨鬥或標籤化的選項多為誘答。",[24,26,28,30],{"term":25,"count":10},"居家治療團隊",{"term":27,"count":10},"精神衛生法強制就醫要件",{"term":29,"count":10},"長效針劑",{"term":31,"count":10},"去污名化",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-015","恐慌症（panic disorder）的病人在至少一次恐慌發作後，最有可能會出現下列何種情況？",15,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-psychiatric-community-011","用鋰鹽的病人，若服用以下那類藥物會引起鋰鹽在血液的濃度增加之危險，下列何項正確？①血清素及甲基腎上腺回收抑制劑（serotonin and norepinephrine reuptake inhibitor, SNRI，如 venlafaxine） ②血管收縮素轉換酵素抑制劑（angiotension-coverting enzyme inhibitor, ACE-inhibitor，如抗高血壓藥，captopril） ③非類固醇抗發炎劑（non-steroid anti-inflammatory drug, NSAID，如 ibuprofen） ④利尿劑（如 thiazide）",11,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-psychiatric-community-025","初次住院的王先生表示：「我一直聽到有個女生的聲音在我的耳邊罵我，我真的好痛苦！」護理師的回應，下列何者最適當？",25,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-psychiatric-community-063","針對糖尿病友辦理 20 人的「控糖班」，設計六週課程，預算經費 20,000 元。依據 PRECEDE-PROCEED 模式，是屬於何診斷？",63,107,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-109-2-psychiatric-community-027","王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",27,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-psychiatric-community-061","有關醫療廢棄物的處理，下列敘述何者正確？",61,110,"2026-08-06",1787299089803]