[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-106-1-精神科與社區衛生護理學-016","nurse-106-1-psychiatric-community-016",106,1,16,"王先生，32 歲，診斷為思覺失調症（schizophrenia），入院第 3 天，白天躺床拒絕參加病室活動，表示自己晚上都睡不好，因為平時沒那麼早睡，醫院作息太早睡了，很不習慣。為協助王先生改善睡眠，下列那一項措施最適合？",{"A":14,"B":15,"C":16,"D":17},"睡前吃一些小點心，以利促進睡眠","鼓勵王先生晚上 10 點再上床，即使不想睡也要躺著，自然就會睡著","為了避免晚餐後因為疲累就上床睡覺，建議在晚餐後喝一杯茶以維持就寢前的清醒","安排王先生參與病室活動，減少白天躺床時間","D",null,[],"本題考點在思覺失調症病人睡眠障礙的非藥物護理措施。王先生白天躺床、夜間睡不著,屬睡眠—清醒週期紊亂,最適切的是安排他參與病室活動、減少白天躺床時間,增加日間活動量與日照刺激,以重建正常睡眠驅力,故選D。A睡前吃點心易造成腸胃負擔、不利入睡,並非首選。B「不想睡也躺著」會強化床與清醒的連結(牴觸刺激控制原則),反而加重失眠。C晚餐後喝茶,茶含咖啡因會使中樞更清醒、延後入睡,方向完全相反,故A、B、C皆不利睡眠。","睡眠衛生與刺激控制(stimulus control)核心:白天多活動、多日照以蓄積睡眠驅力(sleep drive)並校正生理時鐘;睡不著時不應久躺床上,以免大腦把『床=清醒』連在一起。咖啡因(茶、咖啡)阻斷腺苷受體而提神,睡前應避免。記憶:『日增活動、夜減躺床;不睏勿賴床、睡前忌咖啡因』。此題四選項中三個都踩到睡眠衛生的反面教材。",[24,27,29,31],{"term":25,"count":26},"睡眠衛生",2,{"term":28,"count":10},"刺激控制原則",{"term":30,"count":10},"睡眠驅力與日照",{"term":32,"count":10},"咖啡因影響入睡",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-017","入院後，丁小姐顯得注意力分散、忙碌、話多、活動量大、進食量少，護理師最優先考慮的護理目標為何？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-psychiatric-community-033","有關自殺的敘述，下列何者錯誤？",33,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-047","有關學校護理師在學生健康檢查實施方式的敘述，下列何者錯誤？",47,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-005","林先生，診斷思覺失調症，表情緊張地對護理師說：「我都沒跟別人說話，但是別人都可以知道我在想什麼，知道我所有的秘密。」林先生的描述最符合下列那個症狀？",5,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-049","以本國居民及移居海外之華僑進行鼻咽癌比較研究，較可能找出何種因子的影響？",49,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-111-2-psychiatric-community-003","身為專業的精神衛生護理人員，對精神科病人應有的認識，下列敘述何者正確？①病人怪異的想法和行為，都是有目的、有意義的，且為滿足某個需要或溝通某種訊息而呈現出來 ②精神病人的導因，並非來自單一的病因，而是基因、生活、心理、社會，相互影響的結果 ③精神病人多半缺乏自信，無安全感、挫折忍受度或抗壓性低 ④一旦診斷為重度精神疾患，就難以治癒，故不需太多關注於病人的病態思想、情緒和行為，只需維持病人的基本生理照護即可",3,111,"2026-09-04",1788510694702]