[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-034":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-034","nurse-106-1-psychiatric-community-034",106,1,34,"有關精神病人居家照護服務，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"居家訪視的服務依家屬需求而定","居家照護的評估內容，需是整體性的範圍","居家照護的服務，受限人力與物力，採取間接服務為主","服務對象不包含無病識感且拒絕服藥的病人","B",null,[],"本題考點在精神病人居家照護服務的正確原則。居家照護評估應涵蓋病人生理、心理、家庭、社會與環境等面向,屬整體性(holistic)的評估範圍,故選B。A「服務依家屬需求而定」錯誤:居家訪視以病人整體照護需求為核心,非單由家屬需求決定。C「受限人力物力採間接服務為主」錯誤:居家照護本質即為到宅的直接服務,含直接評估、給藥指導與症狀監測。D「服務對象不含無病識感且拒絕服藥者」錯誤:這類病人正是社區精神照護積極介入、避免脫落的重點對象,故三者皆與居家照護原則相悖。","社區精神居家照護的精神是『把照護帶到病人身邊』,強調整體性(生理—心理—家庭—社會全面評估)、可近性與連續性,尤其鎖定病識感差、易中斷治療的高風險個案,以維持治療連續、預防復發與再住院。與機構照護相比,居家更重家庭增能與環境評估。記憶:『居家=整體評估+直接服務+主動找回易脫落者』,對照本題三個錯項恰好一一被推翻。",[24,26,28,30],{"term":25,"count":10},"精神居家照護",{"term":27,"count":10},"整體性評估",{"term":29,"count":10},"直接服務可近性",{"term":31,"count":10},"無病識感個案介入",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-035","依據精神衛生法第 45 條，嚴重精神病人於急性病房出院返家後，仍無病識感且拒絕服藥，精神症狀仍相當不穩定，病人表示不要再回到醫院去治療，且也拒絕接受社區強制治療，下列說明何者正確？",35,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-051","張先生為中度失智個案，常有走失、健忘、重複問時間、焦慮等問題，社區衛生護理師家訪時對家屬的建議，下列何者最不適當？",51,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-065","有關小組討論法之敘述，下列何者正確？",65,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-023","躁症發作（manic episode）的診斷準則，下列何者正確？",23,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-067","對懷孕 32 週孕婦的孕期衛生指導，下列何者適當？①優生保健 ②每個月產檢 ③預防流產 ④乳房護理 ⑤新生兒用物準備 ⑥腿部保暖及抬高",67,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-psychiatric-community-021","葛先生，診斷為雙相情緒障礙症，入院第三天，在入院期間常常在大廳走動，很容易與其他病友起口角或衝突，經醫療團隊討論後決定給予葛先生執行隔離措施，對隔離措施的敘述，下列何者正確？",21,111,"2026-09-04",1788510694932]