[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-039":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-039","nurse-106-1-psychiatric-community-039",106,1,39,"李先生受被害妄想影響，認為有人要對他不利，拿出身上預藏的水果刀表示要傷害對他不利的人，下列處置何項最適切？",{"A":14,"B":15,"C":16,"D":17},"尋求人力支援，立即取走個案手上的水果刀","狀況緊急，在等待支援人力之時，請病人、家屬協助處置","口頭斥喝李先生要立即放下刀子","告知李先生沒有人要對他不利，請李先生將水果刀交給工作人員","A",null,[],"本題考點在暴力風險情境下的優先處置。李先生受被害妄想影響、持水果刀揚言傷人,已構成立即危及他人安全的緊急狀況,首要處置是尋求人力支援、並在確保安全下立即取走危險物品(水果刀),以消除立即傷害風險,故選A。B在等待支援時「請病人、家屬協助處置」危險,不應讓非專業者暴露於刀械風險。C口頭斥喝易激化對立、增加衝動攻擊風險,違反去激化(de-escalation)原則。D在對方持刀情緒激動時單以言語否定其妄想(「沒有人要害你」)並要求交刀,無濟於化解且可能觸怒病人,故三者皆未能有效降低立即的安全威脅。","暴力處置優先序『安全第一、人力充足再介入』:面對持械威脅,先確保工作人員與他人安全、集結足夠人力,於安全條件下移除危險物品,並以低刺激、去激化的態度應對,避免激怒。與妄想病人爭辯『沒有人害你』通常無效且危險——妄想具不可被說服性。記憶:『持械先集人、去激化、移凶器,勿硬辯妄想、勿讓家屬涉險』。",[24,26,28,30],{"term":25,"count":10},"暴力風險處置",{"term":27,"count":10},"安全與人力支援優先",{"term":29,"count":10},"去激化原則",{"term":31,"count":10},"妄想不可爭辯",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-040","章先生，因為非自願住院而要求出院，不斷的搖動大門門把、持續用力踹大門並喊：「讓我出去，不然要你們好看」，護理師經評估，認為須採取隔離措施。關於隔離措施，下列描述何項正確？",40,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-056","透過舉辦健康講座，教導員工如何預防慢性病，這是屬於 1986 年渥太華憲章中的那一項策略？",56,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-070","在 APGAR 家庭功能評估表中，「家庭在發生問題或面臨困難的時候，家庭成員對於內在資源或外在資源的運用情形」是為了解何項家庭功能？",70,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-028","下列何種神經傳導物質的變化最能說明引發焦慮症病人焦慮症狀的生理機制？",28,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-072","有關視力保健的護理指導，下列何者較適當？",72,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-psychiatric-community-026","張先生為長期飲酒，反覆住院戒酒之病人，此次入院後第二天，心跳過快、血壓升高、大量流汗，聲稱於病室內看到蛇。此時病人最可能出現的是下列何者？",26,111,"2026-09-04",1788510694990]