[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-021","nurse-115-1-psychiatric-community-021",115,1,21,"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？",{"A":14,"B":15,"C":16,"D":17},"約束的目的主要為保護涂先生，穩定其情緒，而非考量保護另一位病友免於傷害","約束一定會涉及不符倫理的議題，同時也是破壞涂先生與工作人員信任關係的主因","運用隔離措施之三個原則，包括獨居、隔離、減少感覺輸入","因情況危急，通常不需再向涂先生說明太多","C",null,[],"本題考點是約束與隔離的處置原則。隔離措施的三個原則為:獨居(一人一室)、隔離(與衝突對象及刺激源分開)、減少感覺輸入(降低聲光與人際刺激),讓病人在低刺激環境中情緒逐漸緩和,故C正確。A錯:本次處置起因於病人攻擊病友並揚言致死,約束隔離的目的同時包含保護病人自身「與」保護他人免於傷害,不能排除後者;B錯:依醫囑、符合程序且以安全為目的之約束是合法的治療性處置,並非必然不符倫理或必然破壞信任關係;D錯:即使情況危急,仍應簡要向病人說明約束的原因與解除條件,尊重其知的權利。","隔離的治療原理是「刺激剝奪的治療性運用」:攻擊與躁動常因環境刺激過載而升級,一人一室、低聲光的環境能協助病人重整自我控制。執行倫理上,約束隔離同時涉及自主原則(限制自由)與不傷害、行善原則(防止傷害),當病人因病喪失自控且危及他人時,以「最後手段、最小限制、最短時間」執行即符合倫理正當性;過程中的說明、定時評估與儘早解除,正是把倫理原則落實成護理程序的方式。約束前後完整記錄也是法律保障的關鍵。",[24,27,29,31],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":10},"隔離三原則(獨居、隔離、減少感覺輸入)",{"term":30,"count":10},"約束隔離之雙重保護目的",{"term":32,"count":10},"知情說明",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-psychiatric-community-022","承上題，有關身體約束的相關護理措施，下列敘述何者正確？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-psychiatric-community-018","在病房中，丁小姐常進出男病人之病房，甚至躺在男病人床上，會對新進之實習醫師說：「我做你女朋友好不好？」對於丁小姐上述行為護理師最合宜的反應為：",18,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-psychiatric-community-032","依據民國 102 年修正之精神衛生法，個案接受強制社區治療時，初始階段以幾日為限？",32,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-psychiatric-community-070","利用 APGAR 家庭功能評估表，詢問個案是否滿意於家人和其討論事情及分擔問題的方式，主要是了解何項家庭功能？",70,107,{"webId":54,"stem":55,"number":56,"year":57,"session":47},"nurse-109-2-psychiatric-community-034","有關精神科居家護理之敘述，下列何者正確？",34,109,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-110-2-psychiatric-community-068","回教信仰的新住民產婦拒吃婆婆煮的麻油豬肝，引起婆婆不悅，下列護理措施何者最適當？",68,110,"2026-08-06",1787299089916]