[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-040":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-040","nurse-106-1-psychiatric-community-040",106,1,40,"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？",{"A":14,"B":15,"C":16,"D":17},"情況緊急，應讓病人立刻進入隔離室","在隔離室每小時密切觀察病人一次","為保護病人和他人的安全，採取隔離措施不需向病人解釋與說明","隔離期間需協助病人如廁、喝水，滿足病人生理需求","D",null,[],"本題考點在隔離措施的正確執行原則。隔離期間病人的基本生理需求仍須被滿足,護理師應協助病人如廁、喝水、進食等,維護其尊嚴與安全,故選D。A「情況緊急應讓病人立刻進入隔離室」過於絕對:隔離須符合適應症與程序,並非一有激動即逕行隔離。B「每小時密切觀察一次」頻率不足:隔離中的病人須高頻率(通常每15分鐘)持續觀察生命徵象與安全,以防意外。C「採取隔離不需向病人解釋」錯誤:即使緊急,仍應盡可能向病人說明隔離的原因與條件,尊重其知情權並利於配合,故三者皆違反隔離的程序、觀察密度或告知原則。","隔離\u002F約束是限制自由的最後手段,執行要點:須有明確適應症與醫囑、事前或事中盡量向病人說明、高頻率觀察(常規每15分鐘查視,監測生命徵象、循環、姿勢與生理需求)、並持續滿足如廁、飲水、進食等基本需求、定期評估可否解除。核心是『在限制中仍保障安全與尊嚴』。記憶:『隔離不是關起來不管——要說明、勤觀察、顧生理、早解除』。",[24,27,29,31],{"term":25,"count":26},"基本生理需求滿足",2,{"term":28,"count":10},"隔離措施原則",{"term":30,"count":10},"高頻率觀察",{"term":32,"count":10},"隔離告知與尊嚴",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-041","歷史上社區衛生護理發展的最初模式為：",41,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-psychiatric-community-057","有關兒童期肥胖的處置，下列何者錯誤？",57,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-071","為落實保障、尊重遊民基本人權，並考量地域差異性下，提供適切的服務與輔導措施，協助遊民生活重建與適應，遊民收容輔導係採三階段式服務，不包括下列何者？",71,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-029","有關物質使用障礙症的敘述，下列何者錯誤？",29,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-073","有關長期照護的敘述，下列何者不適當？",73,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-111-2-psychiatric-community-027","物質使用障礙症病人，會產生心理依賴（psychological dependence），下列敘述何者正確？",27,111,"2026-09-04",1788510694995]