[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"產兒科護理學","maternal-pediatric",{"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-107-1-產兒科護理學-064","nurse-107-1-maternal-pediatric-064",107,1,64,"小芳，3 歲，腦瘤手術住院，媽媽對於小芳 7 歲的哥哥在學校變得易怒、打同學感到煩心，下列措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵父母觀察小芳的哥哥是否可能承受學校友伴關係的壓力","與父母討論小芳的哥哥至醫院探訪小芳的可能性","建議父母直接糾正並處罰小芳哥哥的不當行為","以玩偶設計引導小芳的哥哥了解小芳住院的原因","C",null,[],"本題考點是住院病童健康手足的心理反應與家庭護理,要找不適當措施。手足因妹妹住院產生的退化或攻擊行為,多源於被忽略、焦慮與不安,護理應以理解引導為主,故直接『糾正並處罰』哥哥屬不適當,無助處理情緒根源反加深失落感,選 C。選項 A 適當:鼓勵父母觀察哥哥是否承受校園同儕壓力,找出行為成因。選項 B 適當:安排哥哥探訪妹妹,可減少對未知的恐懼與被排除感。選項 D 適當:以玩偶引導哥哥理解妹妹住院原因,符合認知發展。錯項 C 用懲罰處理情緒性行為,違反支持性照護原則。","手足反應是兒科家庭護理的重要一環:當一個孩子生重病住院,健康手足常因父母注意力被分走而出現退化、憤怒、嫉妒或行為問題,這是『被忽略的哀傷』而非單純調皮。護理原則:協助父母理解行為背後的情緒需求、維持與手足的連結(探訪、電話)、依年齡以遊戲或繪本解釋病情、給予健康手足專屬的關注時間。處罰只壓制表面行為卻忽略情緒根源,可能惡化。7 歲哥哥屬學齡期,能理解具體因果,故探訪與玩偶引導都比懲罰有效。",[24,26,28,30],{"term":25,"count":10},"住院病童手足反應",{"term":27,"count":10},"支持性家庭護理",{"term":29,"count":10},"健康手足情緒需求",{"term":31,"count":10},"避免懲罰處理情緒行為",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-065","有關病童死亡的護理措施，下列何者正確？",65,{"webId":38,"stem":39,"number":10,"year":40,"session":10},"nurse-108-1-maternal-pediatric-001","王女士想了解溫柔生產的照護方式，下列護理指導何者錯誤？",108,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-108-2-maternal-pediatric-015","有關分娩時經產婦的子宮頸變化之敘述，下列何者正確？",15,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-109-2-maternal-pediatric-053","王小弟經由母親垂直感染後天免疫缺乏症候群（AIDS），下列敘述何者正確？",53,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-maternal-pediatric-017","陳女士，待產 12 小時後生下一位健康新生兒。有關護理師執行的第四產程的護理措施，下列何者不適宜？",17,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-051","翔翔，9 歲，因妹妹癌末瀕臨死亡住院，以下對翔翔的照護措施何者較不適當？",51,112,"2026-09-04",1788510703861]