[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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":27},"nurse-106-1-基本護理學與護理行政-009","nurse-106-1-fundamental-nursing-009",106,1,9,"護理師於病人使用冰枕後 20 分鐘詢問病人感覺如何，此為護理過程的那一部分？",{"A":15,"B":16,"C":17,"D":18},"護理評估","護理目標","護理活動","護理評值","D",null,[],"本題考點在護理過程（nursing process）五步驟中「評值（evaluation）」的辨識。依護理師在執行冰枕降溫措施後，再回頭評估病人反應與措施成效，屬於檢視目標達成與否的評值階段，故選 D。A 護理評估是介入前收集資料；B 護理目標為設定預期結果；C 護理活動是執行降溫等具體措施本身。題中「執行後、回頭評估效果」正對應評值，故選 D。","護理過程 ADPIE：Assessment 評估→Diagnosis 診斷→Planning 計畫（含目標）→Implementation 執行（活動）→Evaluation 評值。判準口訣「介入前是評估，介入後看成效是評值」，本題卡在「措施之後」故屬評值。",[25,28,31,33],{"term":26,"count":27},"護理過程",11,{"term":29,"count":30},"ADPIE",2,{"term":32,"count":11},"評值",{"term":34,"count":11},"措施成效",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-1-fundamental-nursing-010","有關專業性人際關係結束期的護理重點，下列何者正確？",10,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-106-2-fundamental-nursing-026","鼻黏膜出血的病人，應於何處冰敷以達止血目的？",26,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-107-1-fundamental-nursing-040","測量成人病人脈搏時，發現速率超過 100 次／分鐘，間隔時間長短不一，其先後相繼無一定的節律，呈現跳幾下停一下的狀況，病人脈搏所呈現的脈律不整，下列何者最有可能？①二重脈 ②三重脈 ③間歇脈 ④心搏過速",40,107,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-108-1-fundamental-nursing-078","依據績效考評方式，何者是屬於由直屬主管、員工、同儕及外部顧客反應的考評方式？",78,108,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-109-2-fundamental-nursing-042","以徒手肌肉檢查（manual muscle test）病人左側肢體的肌肉有輕微收縮，但無法移動關節，其肌肉力量（muscle power）等級為何？",42,109,{"webId":60,"stem":61,"number":62,"year":63,"session":30},"nurse-110-2-fundamental-nursing-076","根據系統理論，其運作過程的結果敘述，下列何者正確？",76,110,"2026-09-04",1788510691773]