[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-059","nurse-106-2-psychiatric-community-059",106,2,59,"執行出院準備服務時，首先應完成：",{"A":14,"B":15,"C":16,"D":17},"評估病人照護需求","擬定照護計畫","篩選高危險群","服務協調與安排","C",null,[],"本題考點為出院準備服務(discharge planning)的執行步驟首要工作。依出院準備服務流程,首先應「篩選高危險群(high-risk screening)」,即於入院早期辨識出出院後仍需持續照護、易再住院的個案,再對其進行需求評估與後續規劃,故選 C。A「評估病人照護需求」是篩出高危個案後才進行的第二步;B「擬定照護計畫」須在完成需求評估之後;D「服務協調與安排」屬計畫確立後的執行銜接階段。判斷關鍵在於出院準備服務不對所有病人一律深入處理,而是先『篩選』出需要者,故篩選高危險群為第一步。","出院準備服務流程:篩選高危險群(screening)→評估照護需求(assessment)→擬定出院照護計畫(planning)→協調安排資源與轉銜(implementation\u002Fcoordination)→追蹤評值。高危險群篩選常於入院 24～48 小時內以評估工具進行,指標含高齡、獨居、多重慢性病、失能、缺乏照顧者、頻繁再住院等。理由:資源有限,須先聚焦最需要持續性照護者以降低非計畫性再住院。此流程本質仍是護理程序的應用(評估在先),但特別強調『先篩選再深入』的分流邏輯,C 的篩選是啟動整個服務的第一關。",[24,27,30,33],{"term":25,"count":26},"出院準備服務",12,{"term":28,"count":29},"連續性照護",9,{"term":31,"count":32},"高危險群篩選",1,{"term":34,"count":32},"再住院預防",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-060","有關慢性病的特性，下列何者錯誤？",60,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-psychiatric-community-076","辜小姐產假後返回職場工作仍繼續哺餵母乳，依據民國 103 年 12 月 30 日公布的女性勞工母性健康保護實施辦法，下列那個措施較不恰當？",76,107,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-2-psychiatric-community-010","王先生，國立大學法律系畢業，住院第三天，診斷為雙相情緒障礙症，正處於躁期，擔心自己吃藥後可能產生副作用，要求借閱藥品手冊以了解自己所服藥物的合理劑量，護理師查閱病歷，確認病人的藥物劑量在合理的成人劑量範圍，護理師的回應下列何者最適合？",10,108,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-109-2-psychiatric-community-048","有關全民健保之敘述，下列何者錯誤？",48,109,{"webId":56,"stem":57,"number":26,"year":58,"session":32},"nurse-111-1-psychiatric-community-012","王小姐在精神科病房住院，住院期間某日與其他病人爭執，出手攻擊對方。依據行為治療理論，下列何項負向增強（negative reinforcement）的處置最適當？",111,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-psychiatric-community-046","有關流行病學研究方法的敘述，下列何者較不適宜？",46,112,"2026-09-04",1788510700518]