[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-020":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-020","nurse-115-1-psychiatric-community-020",115,1,20,"陳女士，70歲，診斷為思覺失調症，因出現明顯精神症狀而入院治療。下列何項入院護理照護最適切？",{"A":14,"B":15,"C":16,"D":17},"安排不同的照護人員，以增加對人的定向感","若病人出現暴力行為，直接採取隔離與約束處置","當病人出現妄想時，可協助分散注意力","當病人出現幻覺時，應先協助區別現實與幻覺的不同","C",null,[],"本題考點是急性精神症狀病人的入院護理原則。妄想的特性是堅信不移、無法以理說服,與病人爭辯或反覆探究只會強化妄想並破壞關係,適切作法是不批判、不爭論,並以活動或中性話題協助分散其對妄想的注意力,故C最適切。A錯:應安排固定的照護人員以建立信任並增進對「人」的定向感,頻繁更換人員反使老年病人更混亂;B錯:暴力行為應先採言語安撫、降低刺激等最小限制措施,隔離與約束是最後手段,不可直接採用;D錯:面對幻覺首要是接納病人的主觀感受、建立信任,急於要求區辨現實與幻覺形同面質,易破壞關係。","妄想與幻覺的護理共同原則:不爭辯、不批判、不假裝認同,先同理感受再溫和呈現事實,並以現實性活動轉移注意。對幻覺的呈現事實句型如「我沒有聽到那個聲音,但我知道你聽到了,這讓你很害怕」——重點是接納「感受」而非認同「內容」。老年病人照護加上定向感三要素:固定人員、固定環境、清楚的時間與地點提示(時鐘、日曆、光線)。而暴力處置層級「口語→藥物→隔離約束」的順序,幾乎每年都以「直接約束」形式出現在錯誤選項。",[24,27,29,31,33],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":10},"妄想的護理原則",{"term":30,"count":10},"注意力分散技巧",{"term":32,"count":10},"定向感與固定照護人員",{"term":34,"count":10},"幻覺的現實呈現",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-021","涂先生，41歲，診斷為雙相情緒障礙症，與病友因口角發生攻擊行為，揚言要致其死，經醫囑予約束隔離30分鐘，有關約束隔離的敘述，下列何者正確？",21,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-017","入院後，丁小姐顯得注意力分散、忙碌、話多、活動量大、進食量少，護理師最優先考慮的護理目標為何？",17,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-psychiatric-community-031","社區心理衛生的第二級預防工作，應如何推行？",31,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-psychiatric-community-069","家庭圈（family circle）最適合呈現家庭成員的何種關係？",69,107,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-109-2-psychiatric-community-033","為促進社區中慢性病人與家屬的溝通，護理師應扮演何種角色？",33,109,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-110-2-psychiatric-community-067","社區護理師提供更年期婦女骨質疏鬆防治措施，下列何者最不適當？",67,110,"2026-08-06",1787299089874]