[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-047","nurse-115-1-psychiatric-community-047",115,1,47,"有關出院準備服務的特性，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"是持續照護體系中重要的轉銜機制","是以機構為中心的照護模式","需要各醫療照顧等專業團隊共同參與","入院即為出院準備的開始","B",null,[],"本題考點為出院準備服務的核心理念。出院準備服務是連結急性醫療與社區或居家照護的整合性計畫,其設計以病人及家庭的照護需求為中心,依需求評估結果連結後續資源,而非以醫院或機構的營運方便為出發點,把它描述成以機構為中心的照護模式違背了持續性照護與個案為中心的原則,故 B 最不適當,為正解。A 適當:它正是持續照護體系中銜接不同照護場域的轉銜機制。C 適當:須由醫師、護理師、社工師、營養師、復健與個案管理者等跨專業團隊共同參與。D 適當:國際共識是入院時即啟動出院準備評估,而非等到出院前才開始。","出院準備服務的流程可記為「評估—計畫—執行—轉介—追蹤」五步:入院二十四至四十八小時內完成篩檢,辨識高風險族群(高齡、獨居、多重慢性病、失能、頻繁再入院、管路留置者),再由跨專業團隊擬定照護計畫、提供照顧者技術指導與衛教、連結長照 2.0 或居家醫療資源,出院後進行電話或家訪追蹤。其效益指標包括住院天數縮短、非計畫性再入院率下降、急診返診率降低與照顧者負荷減輕。台灣自 2017 年起推動出院準備銜接長照服務計畫,使出院前即可申請長照服務,縮短空窗期。延伸概念:持續性照護、個案管理、跨專業團隊合作。",[24,27,30,33,35],{"term":25,"count":26},"出院準備服務",12,{"term":28,"count":29},"跨專業團隊",3,{"term":31,"count":32},"持續性照護",2,{"term":34,"count":32},"以病人為中心",{"term":36,"count":10},"長照服務銜接",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-115-1-psychiatric-community-048","依據老人福利機構設立標準，有關長期照顧機構類型及照護對象，下列敘述何者最適當？",48,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-106-1-psychiatric-community-044","有關因果關係的判斷敘述，下列何者錯誤？",44,106,{"webId":48,"stem":49,"number":50,"year":46,"session":32},"nurse-106-2-psychiatric-community-058","有關我國長期照顧十年計畫 2.0 喘息服務的描述，下列何者正確？",58,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-108-2-psychiatric-community-016","林小姐，診斷為思覺失調症，目前於精神復健病房住院，偶有自笑自語，衣服常有異味，病床單位凌亂，常躺床少與人互動。有關林小姐目前的精神復健目標，下列何項優先？",16,108,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-109-2-psychiatric-community-060","有關免疫力（immunity）的敘述，下列何者正確？",60,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-1-psychiatric-community-014","對慢性思覺失調症且功能退化病人的照護，護理師指導家屬的照護病人的措施，下列何者正確？ ①直接幫病人做日常生活上的照顧，又快又好 ②宜採漸進式訓練 ③需要耐性予以接納與訓練 ④配合獎賞引發學習動機",14,111,"2026-08-06",1787299090214]