[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-051","nurse-106-2-psychiatric-community-051",106,2,51,"張先生為中度失智個案，常有走失、健忘、重複問時間、焦慮等問題，社區衛生護理師家訪時對家屬的建議，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"讓張先生戴有姓名及電話的手鍊","變動環境擺設與佈置避免環境單調","在大門加裝另一門栓或密碼鎖","將時鐘及日曆掛於醒目處","B",null,[],"本題考點為失智症個案的居家環境安全指導,採「最不適當」排除題。依失智照護原則,失智者對環境改變的適應力下降,維持「熟悉、穩定、簡化」的環境有助減少混亂與焦慮;故 B「變動環境擺設與佈置以避免單調」方向錯誤,頻繁變動反而增加迷失與不安,是最不適當者,故選 B。A 佩戴載有姓名電話的手鍊,可在走失時協助辨識返家,適當;C 大門加裝門栓或密碼鎖,可防止走失外出,適當;D 將時鐘日曆置於醒目處,提供時間定向線索、緩解重複問時間,適當。判斷關鍵在於失智照護講求「環境恆定」而非刻意變化。","失智症非藥物照護核心:提供定向線索(時鐘、日曆、標示)、維持規律作息、環境熟悉穩定、移除危險物、防走失措施(辨識手環、門禁、GPS)。理由:失智者記憶與定向力退化,熟悉環境是其僅存的認知依附;改變擺設會摧毀既有空間記憶,誘發混亂、焦躁甚至遊走(wandering)。與情緒安撫原則一致:少刺激、多結構。排除題判準:找出違反『穩定熟悉』大原則的選項(B)。此題延伸可連結日落症候群(sundowning)的環境調整策略。",[24,27,30,32],{"term":25,"count":26},"失智症照護",4,{"term":28,"count":29},"環境穩定熟悉",1,{"term":31,"count":29},"定向線索",{"term":33,"count":29},"防走失措施",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-psychiatric-community-052","全民健康保險為自給自足、自負盈虧之社會保險，以隨收隨付制維持短期財務平衡，其收入來源下列何者正確？①保險對象、雇主及政府共同分擔之保險費 ②菸品健康福利捐 ③公益彩券盈餘分配之收入 ④企業捐款",52,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-psychiatric-community-068","張老先生進入腎臟疾病晚期，社區衛生護理師家訪時，對他的飲食指導，下列何者錯誤？",68,107,{"webId":45,"stem":46,"number":10,"year":47,"session":10},"nurse-108-2-psychiatric-community-002","對於心理衛生初段預防工作的敘述，下列何者正確？①高危險群衛生教育 ②強化個人因應能力 ③協助精神病人早日返回社區 ④倡導正當休閒娛樂活動",108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-040","張先生 48 歲，參與精神科日間留院復健活動，案妹轉述個案不常洗澡有異味，房間地上堆滿雜物，案妹擔心個案相關照顧問題。下列何項為張先生最需要的照護？",40,109,{"webId":54,"stem":55,"number":26,"year":56,"session":29},"nurse-111-1-psychiatric-community-004","關於精神衛生護理工作範圍，居家護理師於病人出院後，協助強化其社交技巧，此項照護較屬於下列何者？",111,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-112-1-psychiatric-community-038","有關社區中慢性精神病人罹患代謝症候群的生理健康監測，不包括下列何者？",38,112,"2026-09-04",1788510700430]