[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"產兒科護理學","maternal-pediatric",{"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-115-2-產兒科護理學-029","nurse-115-2-maternal-pediatric-029",115,2,29,"小羽，2 歲，住加護病房一段時間，對護理師安撫由拒絕轉為接受，對父母離開，也由以往哭喊行為，轉為不在意。依據 Bowlby 與 Roberson 分離焦慮分期為那一期？",{"A":14,"B":15,"C":16,"D":17},"抗議期（protest phase）","失望期（despair phase）","去依戀期（detachment phase）","羞恥懷疑期（shame and doubt phase）","C",null,[],"本題考點在於 Bowlby 與 Robertson 提出的住院幼兒分離焦慮三階段。去依戀期的特徵是幼童表面看似適應、開始接受護理人員安撫、對父母離去不再哭喊,實際上是以壓抑依戀需求來自我保護,與題中由拒絕轉為接受、對父母離開轉為不在意的描述相符,選 C。A 抗議期表現為大聲哭喊、緊抓父母、拒絕他人接近。B 失望期轉為安靜退縮、哭聲減弱、活動與食慾下降,但悲傷仍明顯。D 羞恥懷疑期屬 Erikson 幼兒期的心理社會發展危機,不是分離焦慮的分期名稱。","延伸重點:三期並非情緒好轉的過程,而是依戀需求受挫後逐步關閉的過程,因此去依戀期最容易被誤讀為「孩子適應了」,實則是長期住院造成信任受損的警訊,長期住院的幼兒回家後可能出現退化行為、黏人或反常冷淡。護理設計上的對應:固定主護人員、鼓勵父母陪伴與留下具父母氣味的物品、以治療性遊戲重建可預測感、給予符合幼兒期自主需求的選擇。考點設計邏輯:錯項刻意混入 Erikson 的階段名稱,測的是理論歸屬,遇到「羞恥懷疑」「自主獨立」等字眼要立刻聯想到 Erikson,而非 Bowlby。可連結概念:Erikson 幼兒期自主獨立對羞愧懷疑、依戀理論安全型與逃避型分類、住院兒童失去控制感的三大壓力源。",[24,27,29,31,33],{"term":25,"count":26},"抗議期",4,{"term":28,"count":10},"去依戀期",{"term":30,"count":10},"失望期",{"term":32,"count":10},"Erikson 心理社會發展階段",{"term":34,"count":35},"Bowlby 與 Robertson 分離焦慮三期",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-maternal-pediatric-030","王小弟，足月產，疑似左鎖骨骨折，有關其照護，下列敘述何者最適當？",30,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-106-1-maternal-pediatric-076","李小妹，9 歲，剛被診斷為惡性腦瘤，母親擔心李小妹知道病情之後會傷心，所以不僅隱瞞病情，還整天面帶笑容，而李小妹卻說：「我這麼不舒服，我媽還笑嘻嘻，她有愛我嗎？」下列護理措施何者較適當？",76,106,{"webId":47,"stem":48,"number":49,"year":50,"session":35},"nurse-107-1-maternal-pediatric-010","有關生產過程中子宮肌肉活動的敘述，下列何者錯誤？",10,107,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"nurse-108-1-maternal-pediatric-048","王小妹，8 歲，罹患急性腎絲球腎炎，若出現少尿情形，有關飲食之護理指導，下列何項應避免？",48,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-maternal-pediatric-012","有關待產婦之護理，下列敘述何者錯誤？",12,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-110-2-maternal-pediatric-046","美國精神疾病診斷準則手冊第五版（DSM-5）將自閉症、亞斯伯格症及未分類廣泛性發展障礙，統稱為自閉症類群障礙症（autism spectrum disorder, ASD），有關其身心表徵，下列何者錯誤？",46,110,"2026-08-06",1787299007163]