[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":25},"nurse-115-2-精神科與社區衛生護理學-047","nurse-115-2-psychiatric-community-047",115,2,47,"司馬先生為重度失能者，太太為主要照顧者，因女兒生產需到外縣市探視 1 週，太太煩惱先生的照顧問題。依據此家庭狀況，使用下列那一項長期照護服務資源最適當？",{"A":14,"B":15,"C":16,"D":17},"日間照護","居家護理","喘息服務","居家醫療","C",null,[],"本題考點在於依家庭照顧人力短暫中斷的情境選擇對應的長照服務。喘息服務的設計目的即在主要照顧者因故無法照顧或需休息時,由專業人力短期接手照顧重度失能者,可採居家式、機構式或日間照顧式提供,最符合太太離家一週的需求,故選 C。A 日間照護僅白天提供服務,夜間仍需家中有人照顧,無法涵蓋整週缺乏照顧者的空窗。B 居家護理由護理人員定期到宅執行技術性護理如更換管路、傷口照護,屬間歇性訪視而非全日照顧。D 居家醫療由醫師到宅診療,解決的是就醫可及性,同樣不提供持續照顧人力。","判斷長照服務要先問三個問題:缺的是照顧人力、專業技術,還是醫療診治?需要的時段是白天、間歇,還是全日?時間長度是短期替代或長期安排?缺全日人力且為短期即指向喘息服務;缺白天陪伴與復能是日間照顧;缺技術性護理是居家護理;缺診療是居家醫療;需長期全日則討論住宿式機構。長照 2.0 的喘息服務依 CMS 失能等級核給年度額度,重度失能者額度較高,並可搭配交通接送使用。照顧者長期無替手容易出現照顧負荷過重、慢性疲勞、憂鬱與社會孤立,喘息服務即是預防照顧者崩熬的制度性設計,也是家庭照顧者支持服務的核心項目之一。可延伸連結家庭護理的家庭發展任務、家庭資源與壓力調適的 Double ABCX 模式,以及出院準備服務銜接長照的流程。",[24,26,28,31,34],{"term":16,"count":25},7,{"term":15,"count":27},5,{"term":29,"count":30},"家庭照顧者支持",4,{"term":32,"count":33},"重度失能",1,{"term":14,"count":33},[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-048","曾先生為失智症個案，可自主活動，主要照顧者為媳婦，曾接受過照顧服務員訓練，照顧個案達 3 年，家人希望由自己人照顧，但媳婦身心疲憊，期待可以休息旅遊；也表示獨自照顧的孤單感受。下列那些服務項目最適合提供給照顧者？①轉介安養機構資訊 ②指導照護技巧 ③喘息服務資訊 ④情緒支持",48,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-psychiatric-community-014","護理師照顧吳太太時有強烈的敵意，與之互動時顯不耐煩，覺得對方很像自己的婆婆，而難以和吳太太建立護病關係，有關這種關係之敘述，下列何者正確？",14,106,{"webId":46,"stem":47,"number":48,"year":49,"session":33},"nurse-107-1-psychiatric-community-028","承上題，護理師對古先生入院時，有關生理、心理、社會、智能以及靈性五大層面評估的重點，下列何者正確？",28,107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-066","有關以賦權概念營造健康支持性環境的敘述，下列何者錯誤？",66,108,{"webId":56,"stem":57,"number":58,"year":59,"session":33},"nurse-110-1-psychiatric-community-030","對於暴食症（Bulimia Nervosa）病人的特徵之敘述，下列何者錯誤？",30,110,{"webId":61,"stem":62,"number":63,"year":64,"session":33},"nurse-111-1-psychiatric-community-064","依杜瓦爾（Duvall）的家庭發展階段理論，下列敘述何者正確？",64,111,"2026-08-06",1787299017273]