[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":26},"nurse-115-2-基本護理學與護理行政-006","nurse-115-2-fundamental-nursing-006",115,2,6,"成年病人痔瘡術後 1 日，表示傷口處疼痛，護理師依醫囑讓病人溫水坐浴 15 分鐘，但坐浴後病人主訴疼痛並未改善，護理師重新檢視前述的處理過程和未能改善原因，護理師此項行為，屬於何種觀察？",{"A":15,"B":16,"C":17,"D":18},"參與性觀察","內省性觀察","旁觀性觀察","自主性觀察","B",null,[],"本題考點是護理觀察類型中內省性觀察的定義。內省性觀察是把自己的認知、判斷與處理過程當成觀察對象,回頭檢視自己做了什麼、判斷是否恰當、成效為何。情境中護理師在坐浴未改善疼痛後重新檢視前述處理過程與未能改善的原因,觀察對象正是自身的護理行為,故選 B。A 參與性觀察是一邊參與活動或提供照護、一邊觀察病人反應,對象仍是病人。C 旁觀性觀察是不介入情境、單純從旁觀看病人的行為表現。D 自主性觀察並非護理觀察法的標準分類名稱,屬干擾選項。","內省性觀察是反思性實踐的起點,與 Schön 提出的 reflection-on-action 概念相通;護理過程之所以能從評值回到再評估、修訂計畫形成循環,靠的就是這種對自身判斷的回顧。對比記法:參與性是我在裡面做也在看、旁觀性是我在外面看、內省性是我在看我自己。溫水坐浴未達效果時,常見的再評估方向包括水溫與時間是否達標、水位是否讓傷口確實浸入、以及疼痛是否另有來源。",[25,27,29,31],{"term":16,"count":26},1,{"term":28,"count":26},"護理觀察類型",{"term":30,"count":26},"反思性實踐",{"term":32,"count":26},"護理過程評值",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-2-fundamental-nursing-007","病人入院即將於次日接受手術，下列那一項護理師的回應展現了治療性會談技巧？",7,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-fundamental-nursing-053","王先生診斷為直腸癌末期併有多處骨頭轉移，住安寧病房，生命存活期以「日」計算，目前血壓下降，脈搏微弱，膝部以下呈現冰冷，其臨終照護，下列何者最適切？",53,106,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-106-2-fundamental-nursing-067","有關人力資源的敘述，下列何者錯誤？",67,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-fundamental-nursing-025","下列血品何者可以增加血液膠體滲透壓？",25,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-fundamental-nursing-069","排班方式因時制宜，對於緊急特殊照護需求的情境（例如：突發性大地震後大量傷患湧入），用下列何種排班方式最能快速靈活運用人力支援？",69,109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-2-fundamental-nursing-023","王先生身體外觀瘦弱，右小腿有一處 2×3 公分的傷口，左側偏癱無法行走，無法自行進食，有中度脫水情形。王先生的問題，下列何者應最優先處理？",23,110,"2026-08-06",1787299031465]