[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-017":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":10},"nurse-106-2-精神科與社區衛生護理學-017","nurse-106-2-psychiatric-community-017",106,2,17,"減少阿茲海默症病人之問題行為發生的護理處理，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"尊重病人自主性","安排病人安靜環境","改善病人記憶力","安排病人熟悉環境","D",null,[],"本題考點為減少阿茲海默症病人問題行為的環境策略。依失智照護原則，認知退化者面對陌生環境易生混亂、焦慮與激躁，安排熟悉、固定、可預期的環境能提供安全感、降低問題行為的發生，故正解為 D。A 錯在尊重自主性雖屬照護通則，但無法直接針對「減少問題行為」提供環境層面的具體效果。B 錯在安靜環境雖有幫助，但相較「熟悉環境」，減少定向混亂與不安的關鍵在於環境的熟悉與一致性，非僅安靜。C 錯在阿茲海默症的記憶退化為不可逆的病理過程，「改善記憶力」並非可達成的護理目標，方向不切實際。","失智照護的環境原則：熟悉、固定、簡化、可預期（consistency & familiarity）。熟悉的人事物與規律作息能減少定向混亂、焦躁、遊走等行為精神症狀（BPSD）。相對地，環境改變、搬遷、更換照顧者常誘發問題行為。口訣：失智「熟門熟路最安心」。此與現實導向、常規化照護（routine）相輔——重點在降低混亂，而非期望逆轉不可逆的記憶損害。",[24,26,29,31],{"term":25,"count":10},"行為精神症狀(BPSD)",{"term":27,"count":28},"阿茲海默症照護",1,{"term":30,"count":28},"熟悉環境",{"term":32,"count":28},"常規化與可預期性",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-018","譫妄病人最常出現的幻覺為下列何者？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-psychiatric-community-034","有關「去機構化運動」之敘述，下列何者正確？",34,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-048","有關我國職業安全衛生的敘述，下列何者錯誤？",48,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-006","護理師在照顧精神疾病病人服藥時，下列關於評估病人可能出現服藥副作用的敘述，何者正確？",6,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-050","有關病毒性腸胃炎之敘述，下列何者正確？",50,110,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-112-1-psychiatric-community-004","護理人員可參與精神病人與家屬的相關研討會或會議，協助與鼓勵病人與家屬爭取該有的福利與權益，甚至在國家制定相關精神衛生法案與政策時，提供有利於病人與家屬的訊息給相關機構。此時精神衛生護理人員所表現的是那一個角色？",4,112,"2026-09-04",1788510700007]