[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-021":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-021","nurse-106-2-psychiatric-community-021",106,2,21,"有關處於「譫妄」（delirium）狀態病人的護理目標，下列何者應優先處理？",{"A":14,"B":15,"C":16,"D":17},"增加感官刺激活動，以緩和病人緊張之情緒","維持病人生命徵象之穩定，促進康復","病人能參與定向感訓練，增進認知功能","增進病人的病識感，以配合醫療","B",null,[],"本題考點為譫妄病人護理目標的優先順序。依照護優先原則與 Maslow 需求層次，譫妄多由可逆的生理病因（感染、電解質失衡、缺氧、藥物）引起，最優先是維持生命徵象穩定、確保生理安全並處理病因以促進康復，故正解為 B。A 錯在增加感官刺激方向錯誤，譫妄躁動時應提供適度而非過度的刺激，且此非優先。C 錯在定向感訓練屬重要但次於生理穩定的認知層面介入，須待生命徵象穩定後進行。D 錯在增進病識感對急性意識混亂、認知波動的譫妄病人既不切實際也非當務之急，生理穩定才是首要。","譫妄的照護金律是「找病因、顧生理、保安全」，因其本質是可逆的急性腦功能障礙，及時矯正誘因（感染、缺氧、電解質、藥物）可完全恢復。依 Maslow，生理與安全需求優先於認知（定向、病識感）需求。口訣：譫妄「先命後智」——先穩住生命徵象與安全，再談定向與認知復健。與失智（慢性、不可逆）不同，譫妄強調急性期的生理監測與病因處置。",[24,26,29,31],{"term":25,"count":10},"Maslow 需求層次",{"term":27,"count":28},"譫妄(delirium)護理目標",1,{"term":30,"count":28},"生命徵象穩定優先",{"term":32,"count":28},"可逆性病因處置",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-022","長期大量使用某種物質，在停用或減用後，會出現渴藥、不安、流淚、發汗、瞳孔放大、虛弱無力、噁心、腹痛、骨頭酸痛、失眠等，最可能是下列何種濫用物質的戒斷反應？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-psychiatric-community-038","林小姐是高功能自閉症個案，近日因為找工作受挫，感到無助與無望並有自殺意念，家人要求住院治療，但是病人拒絕住院，當護理師在面對自殺議題時，所應抱持的態度，下列何項敘述最適切？",38,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-052","每 1,000 位育齡婦女平均所生的女嬰數，稱之為：",52,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-010","團體成員在團體中，覺得自己的問題不再是那麼特殊，可以分享各自的感受，而得到相互支持，這項團體的治療性因子，下列何項正確？",10,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-054","以人群為導向的社區衛生護理師，應具備的社區概念中，下列敘述何者不適當？",54,110,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-112-1-psychiatric-community-008","有關情緒穩定劑 Valproic Acid（Depakine ® ）的敘述，下列何者正確？",8,112,"2026-09-04",1788510700044]