[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-115-2-精神科與社區衛生護理學-023","nurse-115-2-psychiatric-community-023",115,2,23,"自殺企圖病人在急性精神科住院時之護理措施，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"危險物品（如刮鬍刀、剪刀）均列入保管","避免討論其自殺的原因，以降低自殺的想法","安排時間及早討論出院計畫","必要時可轉介社區相關機構繼續追蹤","B",null,[],"本題考點為自殺企圖病人急性期的住院護理,選出最不適當者。依自殺防治原則,護理師應以開放、不批判的態度主動與病人討論其自殺想法、原因與致命性,直接談論自殺並不會誘發或強化自殺意念,反而提供評估危險性與情緒宣洩的機會;刻意迴避討論才會讓病人的痛苦無處表達、也錯失評估時機,故B「避免討論其自殺的原因」最不適當,為本題答案。A正確,刮鬍刀、剪刀等危險物品應列冊保管,確保病室環境安全。C正確,及早討論出院計畫可銜接出院後的支持系統與照護。D正確,必要時轉介社區心理衛生中心等機構持續追蹤,是自殺防治連續性照護的一環。","「談自殺會不會教人自殺」是自殺防治最經典的迷思:實證一致顯示,直接而關懷地詢問自殺意念不會增加風險,反而是評估與建立關係的起點,國考凡出現「避談自殺」的選項幾乎必錯。急性期照護的完整拼圖:環境安全(危險物品保管、注意窗戶浴室等高風險點)、密切觀察(高危險期一對一或加強巡視,交班時段與清晨是脆弱時間)、危險評估(計畫具體性、方法可近性、過去企圖史是最強預測因子)、簽訂不自殺約定作為輔助、以及出院前後的銜接——出院後三個月內是自殺高風險期,故C與D的出院準備與社區追蹤都屬正確處置。",[24,27,30,33],{"term":25,"count":26},"連續性照護",9,{"term":28,"count":29},"自殺危險評估",6,{"term":31,"count":32},"自殺防治迷思",1,{"term":34,"count":32},"環境安全維護",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-024","阿明是一名 25 歲思覺失調症病人，因突發被害妄想（被工作人員故意找麻煩）、情緒躁動，突然攻擊工作人員，雖立即遭警衛壓制，但還是造成工作人員全身多處瘀青。暴力事件發生後，下列因應暴力事件的方法，何者最不適當？",24,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-psychiatric-community-070","學童在校內打球時突然倒下，有關護理師急救的處置，下列何者錯誤？",70,106,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-107-1-psychiatric-community-004","下列何者屬於精神衛生法所保障的精神病人權益？",4,107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-042","下列何者是用來比較國家公共衛生與醫療進步最敏感與評估婦幼衛生工作推展成效的指標？",42,108,{"webId":56,"stem":57,"number":29,"year":58,"session":32},"nurse-110-1-psychiatric-community-006","對有聽幻覺（auditory hallucination）、被害妄想（delusion of persecution）的病人進行溝通時，下列回應何者較適當？",110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-111-1-psychiatric-community-040","根據卡普蘭（Caplan, G.）危機理論，當個人常慣用的因應機轉失敗時，個體功能變得紊亂時，此為何項危機理論的分期？",40,111,"2026-08-06",1787299017004]