[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-027","nurse-115-1-psychiatric-community-027",115,1,27,"王同學，19歲，意識清楚，最近被診斷為肺癌末期，他希望預立「不施行心肺復甦術」意願書，下列敘述何者正確？①所簽署的意願書具法律效力           ②需有具完全行為能力者二人以上在場見證          ③ 執行意願人維生醫療之機構所屬人員可當見證人           ④意願書簽署後可以隨時撤回",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點為安寧緩和醫療條例中不施行心肺復甦術(DNR)意願書的簽署要件。①正確:意願人為 19 歲、已成年且意識清楚,具完全行為能力,親自簽署的意願書具法律效力。②正確:條例明定意願書須有具完全行為能力者二人以上在場見證。④正確:意願人得隨時自行以書面撤回其意願之表示,並無次數或時點限制。③錯誤:為避免利益衝突與意思表示受影響,實施安寧緩和醫療及執行意願人維生醫療抉擇之醫療機構所屬人員,不得為該意願書之見證人。故僅①②④成立,正解為 B。","此題可與病人自主權利法對照記憶:安寧緩和醫療條例的 DNR 意願書門檻較低(成年且具完全行為能力、二人見證、可隨時撤回、可註記於健保卡);病人自主權利法的預立醫療決定(AD)門檻較高,須先完成預立醫療照護諮商(ACP)、有二親等內親屬或醫療委任代理人參與、經醫療機構核章並註記健保卡,適用五款臨床條件(末期、不可逆昏迷、永久植物人、極重度失智、其他中央主管機關公告情形)。見證人排除條款的立法理由是防止執行機構自我利益介入,同一邏輯也出現在醫療委任代理人的資格限制。口訣:「二人見證、隨時撤回、執行者不得作證」。",[24,26,28,30,32],{"term":25,"count":10},"安寧緩和醫療條例",{"term":27,"count":10},"不施行心肺復甦術意願書",{"term":29,"count":10},"見證人資格限制",{"term":31,"count":10},"完全行為能力",{"term":33,"count":10},"撤回權",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-psychiatric-community-028","有關世代研究（cohort study）與病例對照研究（case-control study）敘述，下列何者最不適當？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-psychiatric-community-024","有關躁症發作（manic episode）的臨床特徵，下列何者正確？①活動量增加 ②意念飛躍 ③體重增加 ④注意力分散",24,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-psychiatric-community-038","張先生 70 歲，獨居，因為面臨居住幾十年的違章建築要被拆除，張先生一直以死抗議，這天因為表示要自焚，被鄰居送來精神科病房住院進行自殺防範，關於自殺防範護理措施，下列何者最適宜？",38,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-107-2-psychiatric-community-076","目前國內長期照護機構評鑑採用的品質指標，下列何者正確？①跌倒 ②鼻胃管與導尿管移除 ③非計畫性體重改變 ④多重用藥 ⑤預立指示",76,107,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-109-2-psychiatric-community-040","張先生 48 歲，參與精神科日間留院復健活動，案妹轉述個案不常洗澡有異味，房間地上堆滿雜物，案妹擔心個案相關照顧問題。下列何項為張先生最需要的照護？",40,109,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-110-2-psychiatric-community-074","有關居家護理之敘述，下列何者錯誤？",74,110,"2026-08-06",1787299089984]