[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-053","nurse-106-2-psychiatric-community-053",106,2,53,"吳先生因吞嚥功能受損，近日接受胃造口手術後返家，護理師家訪時，下列何種方式最能確認吳太太對吳先生執行胃造口換藥的能力？",{"A":14,"B":15,"C":16,"D":17},"詢問吳太太每日換藥次數","觀察吳先生傷口情形","評估吳家換藥敷料及衛材儲存數量","請吳太太實際操作換藥過程","D",null,[],"本題考點為居家照護中家屬照護能力的評值方法。依護理評值原則,確認學習者是否真正具備某項技能,最有效的方式是「回覆示教(return demonstration)」,即請吳太太實際操作換藥過程,由護理師直接觀察其步驟是否正確完整,故選 D。A 詢問每日換藥次數僅測知認知或頻率概念,無法確認實作技能;B 觀察吳先生傷口情形是評估照護「結果」,無法直接證實吳太太的操作能力,傷口好壞受多因素影響;C 清點敷料衛材儲存數量僅反映備料充足與否,與換藥技術能力無關。判斷關鍵在於技能(psychomotor)學習成效須以實際操作的回覆示教來評值。","學習領域與評值方法對應:認知領域(knowledge)可用口頭詢問、問答評量;情意領域(attitude)可用態度觀察、自陳;技能領域(skill\u002Fpsychomotor)須用回覆示教(return demonstration)實地觀察操作。衛教流程:護理師示教(demonstration)→家屬回覆示教(return demonstration)→給予回饋修正。理由:換藥屬無菌技術操作,唯有親眼看家屬做一遍,才能發現步驟疏漏(如洗手、無菌原則、敷料固定)。此為病人與家屬衛教評值的通用原則,適用各種居家技術指導(如注射、灌食、造口護理)。",[24,27,29,31],{"term":25,"count":26},"回覆示教",1,{"term":28,"count":26},"技能領域評值",{"term":30,"count":26},"居家照護衛教",{"term":32,"count":26},"評值方法",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-054","家庭護理過程步驟的順序，下列何者正確？①動員資源解決問題 ②家庭及個人健康資料收集 ③確認家庭及個人健康問題 ④與家庭共同設立照護目標 ⑤評估執行成效 ⑥決定優先順序",54,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-psychiatric-community-070","在 APGAR 家庭功能評估表中，「家庭在發生問題或面臨困難的時候，家庭成員對於內在資源或外在資源的運用情形」是為了解何項家庭功能？",70,107,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-2-psychiatric-community-004","一位剛入院的精神病人林先生，情緒焦躁，因想打電話通知家人辦理出院，跑到護理站前要求出院，對工作人員大聲謾罵，並企圖攻擊護理師，面對該情緒失控的病人，下列何項措施較適切？",4,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-042","孕期婦女加強葉酸攝取是屬於三段五級預防措施的何項層級？",42,109,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-111-1-psychiatric-community-006","陳護理師因為先生喝酒問題常常引起夫妻之間的衝突，陳護理師想到今天要接的新病人，診斷為酒精使用障礙症（alcohol use disorder），陳護理師就感到焦慮、生氣，這是下列何種現象？",6,111,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-112-1-psychiatric-community-040","鼓勵精神病人重返社區後，最可能產生的影響為何？",40,112,"2026-09-04",1788510700456]