[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-106-1-產兒科護理學-076","nurse-106-1-maternal-pediatric-076",106,1,76,"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？",{"A":14,"B":15,"C":16,"D":17},"鼓勵母親將病情告知李小妹，讓李小妹知道母親很愛她","鼓勵醫師將病情告知李小妹，讓李小妹知道母親很愛她","鼓勵母親和李小妹分享彼此的感受，共同面對疾病挑戰","鼓勵母親和李小妹學習病友的經驗，共同面對疾病挑戰","C",null,[],"本題考點為兒童重症的溝通與親子共同因應。依治療性溝通與家庭共同面對疾病的原則,鼓勵母親與孩子開誠布公地分享彼此感受、一起面對疾病挑戰,能化解隱瞞造成的疏離與誤解,故C最適當。A僅由母親單向告知病情、B改由醫師告知,都停留在資訊傳遞而未促進雙向情感交流;D學習病友經驗雖有幫助,但未直接回應此刻母女間的情感隔閡與孩子「媽媽是否愛我」的核心困擾。孩子誤解母親強顏歡笑為冷漠,關鍵在恢復真誠的情感連結而非單向告知。","學齡兒(7至12歲)已能理解疾病與部分死亡概念,隱瞞常使其從大人的非語言訊息察覺不對勁,反而產生更多焦慮與被排除感。開放、誠實且符合發展階段的溝通有助兒童安全感與配合治療。護理措施著重營造能安全表達情緒的環境,讓親子彼此傾聽,而非替家屬決定告知或單向宣布。核心在雙向情感交流與共同因應。",[24,27,29,31],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":10},"學齡兒疾病認知",{"term":30,"count":10},"親子情感連結",{"term":32,"count":10},"共同因應",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-077","小華，7 歲，搭乘母親的摩托車上學途中，被轎車撞傷，頭部嚴重撞傷，轉入兒科加護病房，現昏迷指數 3 分，給予疼痛刺激時，手臂和腳均呈僵直和內轉的姿勢，有關這些症狀及受傷部位的描述，下列何者正確？",77,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-maternal-pediatric-013","有關硬腦膜外減痛分娩的使用機轉與時間之敘述，下列何者正確？",13,107,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-107-2-maternal-pediatric-027","劉女士第一胎，依據魯賓（Rubin）對產後婦女行為態度之研究結果判斷，下列敘述何者表示劉女士處於接受期（taking-in phase）？",27,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-108-2-maternal-pediatric-065","依照衛生福利部疾病管制署 106 年公布之「我國現行兒童預防接種時程」，卡介苗（BCG）之建議接種時間為：",65,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-029","有關新生兒免疫系統的敘述，下列何者錯誤？",29,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-063","陳小弟，7 個月大，因高燒、聲音出現狗吠聲而入院，經醫師診斷為哮吼（croup），有關哮吼的護理措施，下列敘述何者錯誤？",63,111,"2026-09-04",1788510694453]