[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-038":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-106-2-精神科與社區衛生護理學-038","nurse-106-2-psychiatric-community-038",106,2,38,"張先生 70 歲，獨居，因為面臨居住幾十年的違章建築要被拆除，張先生一直以死抗議，這天因為表示要自焚，被鄰居送來精神科病房住院進行自殺防範，關於自殺防範護理措施，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"依據評估張先生的自殺危險程度，護理師應採取每 15 分鐘密切觀察","依據評估張先生的自殺危險程度，建議張先生請看護，採一對一陪伴","協助張先生與政府單位溝通，延緩拆除居所","儘早進行安置張先生計畫，建議轉慢性病房","A",null,[],"本題考點為自殺高危個案的密切觀察護理措施。依自殺防範原則,對經評估具自殺危險性的住院病人,護理師應主動負起密切觀察之責,通常採每 15 分鐘定時巡視觀察(高危者甚至一對一持續監護),以確保安全,故選 A。B 將監護責任外包給家屬請看護,護理師不應把安全防範主責轉嫁,且非專業人力難確保防範品質;C「協助與政府溝通延緩拆除」屬社會問題處理,雖有助長遠壓力源,但非住院當下防自殺的首要護理措施;D「儘早安置、轉慢性病房」在急性自殺危機未解除前即談轉出,忽略立即安全需求,時機不當。判斷關鍵在於自殺防範的護理主責與觀察頻率。","自殺防範分級監護原則:依危險程度決定觀察密度,常見為每 15 分鐘巡視,最高危者採 24 小時一對一(one-to-one)持續視線內監護;同時移除危險物品(繩、利器、藥物)、建構安全環境。護理核心:安全維護是護理師不可轉嫁的專業責任,故 A 優於 B。時序邏輯:急性期先確保生命安全(A)→穩定後再處理壓力源與後續安置(C、D),選項 C、D 並非全錯,而是「時機不適當、非首要」。這類「最適宜」題要比較介入的優先次序而非單純對錯。",[24,27,29,31],{"term":25,"count":26},"自殺防範",1,{"term":28,"count":26},"分級監護",{"term":30,"count":26},"每 15 分鐘觀察",{"term":32,"count":26},"護理安全責任",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-039","中風臥床多年的周爺爺，兩週前在睡眠中與世長辭，周奶奶正處於悲傷急性期的情境中，在這個階段，照護喪偶的周奶奶，下列那一事項並不急於在此時進行？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-psychiatric-community-055","根據 2015 衛生福利部年報，下列敘述何者不是臺灣人口結構現況？",55,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-069","家庭圈（family circle）最適合呈現家庭成員的何種關係？",69,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-027","王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",27,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-071","職業衛生護理的工作內容與其他社區群體護理最大的不同為何？",71,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-1-psychiatric-community-025","有關強迫性人格障礙症的臨床表現，下列敘述何者最適切？",25,112,"2026-09-04",1788510700274]