[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-115-2-精神科與社區衛生護理學-048","nurse-115-2-psychiatric-community-048",115,2,48,"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",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","③④","D",null,[],"本題考點在於依照顧者已具備的能力與實際表達的需求選擇服務項目。媳婦受過照顧服務員訓練且已照顧三年,照護技巧並非其缺口;她表達的是身心疲憊想休息旅遊與獨自照顧的孤單感,對應需求分別為替代照顧人力與心理支持,故選喘息服務資訊與情緒支持,答案為 D。①轉介安養機構資訊不適當,因家人明確希望由家人親自照顧,逕行轉介機構與家庭意願相違且可能引發罪惡感。②指導照護技巧屬重複提供已具備的能力,無法回應疲憊與孤單,故含①或②的 A、B、C 均不適切。","護理過程的關鍵在需求評估先於措施:同一個失智照顧家庭,若照顧者是新手則技巧訓練優先;若已熟練但耗竭,則喘息與心理支持優先。照顧者耗竭的評估面向包括身體(疲勞、睡眠、腰背痠痛)、心理(憂鬱、焦慮、罪惡感)、社會(社交退縮、孤單)與經濟(離職、收入減少),常用工具如 Zarit 照顧負荷量表。情緒支持的具體做法包含同理與傾聽、正常化其負向感受、連結照顧者支持團體與家庭照顧者關懷專線,讓經驗相近者互相支持可有效降低孤單感。失智照顧另可延伸複習瑞智學堂與失智共同照護中心、失智社區服務據點、精神行為症狀(BPSD)的非藥物處理原則(規律作息、環境簡化、懷舊療法、音樂治療),以及尊重家庭決策與自主性在家庭護理中的倫理位置。",[24,27,30,32,34],{"term":25,"count":26},"喘息服務",7,{"term":28,"count":29},"家庭照顧者需求評估",1,{"term":31,"count":29},"情緒支持",{"term":33,"count":29},"照顧者負荷與耗竭",{"term":35,"count":29},"失智症社區照顧資源",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-psychiatric-community-049","陳太太 66 歲，被診斷高血壓已 5 年，定期用藥，目前並無不適症狀。護理師提供的指導，下列何項最不適當？",49,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-106-2-psychiatric-community-015","王先生診斷雙相情緒障礙症，30 歲。王先生住院後，不斷的投書給醫院的院長，對病房設施提出多項建議，護理師的處置下列何者最適宜？",15,106,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-107-1-psychiatric-community-029","下列有關失智症之敘述，何者最適切？",29,107,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-108-2-psychiatric-community-067","依據 PRECEDE-PROCEED 模式，社區進行整合性篩檢服務時，常會考慮民眾接受服務之可近性，此因素是屬於：",67,108,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-110-1-psychiatric-community-031","王小弟，5 歲，診斷為自閉症類群障礙症（Autism Spectrum Disorder），下列護理措施何者錯誤？",31,110,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-111-1-psychiatric-community-065","有關長期照顧十年計畫 2.0 小規模多機能服務機構發展的目的，下列何者錯誤？",65,111,"2026-08-06",1787299017297]