[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"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-內外科護理學-071","nurse-106-1-medical-surgical-071",106,1,71,"唐女士，口腔癌術後狀況穩定，胰島素注射一天 4 次，鼻胃管灌食一天 6 餐，消化良好，空腹指尖血糖約 100～140 mg\u002FdL，手術前糖化血色素（HbA1c）為 9.5%。唐女士表示「我住院開刀前糖尿病是以口服藥控制，而且血糖控制很好的，我一定要注射胰島素嗎？」護理師的回答，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"「一旦開始注射胰島素，就終生需注射胰島素，沒關係，我們會教您的！」","「您手術前的糖化血色素是 9.5%，血糖控制很差喔！打針比較好。」","「目前胰島素注射對您的病情及血糖控制是有幫助的，您擔心的是什麼？」","「您很怕打針是嗎？現在血糖控制還不錯，我會請醫師幫您調整藥物。」","C",null,[],"本題考點為面對用藥疑慮時的治療性溝通技巧。個案對胰島素注射有疑慮，最適切的回應應先肯定當前治療的助益，再以開放式提問探詢其真正的擔憂，以掌握需求，故 C 兼具說明與同理、開放式提問最為恰當。A「一旦開始就終生需注射」是不正確且徒增焦慮的斷言;B 直指血糖控制很差帶有批判語氣;D 逕自承諾請醫師改藥、逾越護理角色且忽略先了解個案感受，皆非最適切，故不選。","治療性溝通原則:先接納情緒、給予正確資訊,再用開放式問句(「您擔心的是什麼?」)鼓勵表達,避免批判、避免給假保證、避免越權承諾醫療決策。手術壓力下常需暫時胰島素控糖,待穩定再評估,說明時應同理而不否定其感受。",[24,27,29,31],{"term":25,"count":26},"治療性溝通",2,{"term":28,"count":10},"開放式提問",{"term":30,"count":10},"同理心",{"term":32,"count":10},"護理角色界限",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-medical-surgical-072","有關甲狀腺機能亢進之護理指導，下列何者錯誤？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-medical-surgical-008","Tensilon（Edrophonium）test 是下列那一種疾病最具代表性的檢查？",8,107,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-107-2-medical-surgical-022","有關青光眼藥物作用的敘述，下列何者正確？",22,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-medical-surgical-060","教導慢性阻塞性肺疾病病人採用橫膈式呼吸之預期效果，下列何者正確？",60,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-medical-surgical-024","因呼吸衰竭而血中二氧化碳分壓（PaCO 2 ）過高時，下列症狀何者最可能立即危及生命？",24,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-medical-surgical-058","肺炎發生時，於肺實質所產生的病生理變化，不包括下列何者？",58,111,"2026-09-04",1788510693401]