[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-106-1-精神科與社區衛生護理學-031","nurse-106-1-psychiatric-community-031",106,1,31,"關於青少年精神病人一般照護原則的描述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"不能以圖畫引導表達情緒，以免病人認為治療者輕視他們言語表達能力","不要推薦閱讀書籍以免增加其思考負荷","有自殺的危險性時仍需遵從不向其家人告知訊息的保密約定","第一次評估需同時包含病人和家屬才能澄清就診原因","D",null,[],"本題考點在青少年精神病人的一般照護原則。青少年就診常涉及家庭系統與情境脈絡,第一次評估需同時納入病人與家屬,以澄清就診原因、蒐集完整發展與家庭資料,故選D。A稱不能以圖畫引導表達,錯誤:繪畫等表達性媒材正是協助青少年抒發情緒的好工具,並不會被視為輕視。B「不推薦閱讀書籍以免增加思考負荷」錯誤:適當的閱讀治療對青少年有益。C「有自殺危險仍須遵守不告知家人的保密約定」嚴重錯誤:當有立即危及生命之虞時,保密原則須讓位於保護生命,得突破保密通知相關人,故三者皆違反青少年照護與安全原則。","青少年照護兩大支柱:一是『家庭一起看』(問題常鑲嵌於家庭與發展脈絡),二是『安全凌駕保密』——保密是原則,但遇自傷\u002F傷人等重大風險即為法定與倫理上的例外,須通報保護。表達性媒材(繪畫、閱讀、遊戲)則是降低防衛、促進表達的利器,而非禁忌。記憶:『初評帶家屬、危機破保密、媒材助表達』,三句話涵蓋本題三個錯項的反面。",[24,26,28,30],{"term":25,"count":10},"青少年精神照護原則",{"term":27,"count":10},"家庭參與評估",{"term":29,"count":10},"保密例外與安全優先",{"term":31,"count":10},"表達性治療媒材",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-032","關於飲食障礙病人於急性病房住院第一階段的飲食行為約定內容，下列何者正確？",32,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-048","造成家庭暴力與虐待事件的社會因素包括那些？①工作壓力 ②家庭管教方式 ③媒體學習 ④醫療制度",48,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-062","進行社區需求評估時，第一個步驟通常是：",62,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-020","周先生罹患思覺失調症多年，常因自行中斷服藥而導致發病重複住院，護理師給予的藥物護理指導，下列何者正確？①幫病人備好藥物 ②提供家人完整的衛教 ③確定病人知道自己所做的治療 ④建議病人記下用藥後之感受",20,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-064","關於家庭訪視期間訂定護理契約的敘述，下列何者正確？①訂定契約之目的主要是使家庭正式參與護理過程 ②達成協議後，社區護理師須有效率地為個案和案家訂定目標和分派任務 ③護理契約是持續進行可隨案家情況重新談判的工作協議 ④為能減少家庭健康風險，須與家庭中能負責和適當的成員簽訂契約",64,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-psychiatric-community-018","小菲，18 歲，診斷為思覺失調症。小菲雖有規則服藥，但是幻聽干擾時好時壞。父母打聽可以做電氣痙攣療法，因此詢問護理師的意見，下列何者回答最適當？",18,111,"2026-09-04",1788510694892]