[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-001":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-107-1-精神科與社區衛生護理學-001","nurse-107-1-psychiatric-community-001",107,1,"精神科護理師在自己的臉書（Facebook）或部落格上討論所照顧的精神病人，試圖提供精神健康的相關知識，下列何者描述最適當？",{"A":13,"B":14,"C":15,"D":16},"現在網路資訊為獲得訊息的管道，精神科護理師可以在部落格張貼病人照片與病情","不得將任何可以辨識出病人的資訊公布於部落格或臉書","在自己的臉書上加密，不需經過病人同意就能使用精神病人的照片或病情討論分享","可以將病房病人活動的照片放上網路，讓社會大眾知道精神科病人住院的情形，澄清社會大眾對精神科病房的誤解","B",null,[],"本題考點在於精神科護理師運用社群媒體時的保密與隱私倫理。依護理保密原則與精神衛生法對病人隱私的保障，任何可辨識出特定病人身分的資訊都不得公布於部落格或臉書，故 B 為最適當的做法，選 B。A 錯：在部落格張貼病人照片與病情直接洩漏可辨識資訊，違反保密義務。C 錯：即使臉書設加密，未經病人同意仍不得使用其照片或病情，加密不等於合法揭露。D 錯：以「澄清社會誤解」為由公開病房活動照片，仍屬未經同意揭露可辨識影像，且精神疾病資訊更具敏感性，不得如此處理。","本題可用「去識別化與知情同意」兩把尺檢驗每個選項。保密義務不因平台是公開或私密、動機是善意衛教而豁免；只要內容能連結到特定個案（姓名、臉孔、病房場景、可推知身分的細節），就須事前取得個案書面同意並充分去識別化。精神疾病牽涉污名，法規對其隱私保護更嚴。護理師想做心理健康衛教是好事，正確做法是使用一般化、匿名化、無法回溯到特定人的衛教內容。記憶原則：善意不等於免責，公開前先問「這能不能認出是誰？有沒有取得同意？」兩者只要有一個踩線就不可為。",[23,26,29,31,33],{"term":24,"count":25},"精神衛生法",20,{"term":27,"count":28},"知情同意",6,{"term":30,"count":10},"保密原則",{"term":32,"count":10},"病人隱私權",{"term":34,"count":10},"去識別化",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-psychiatric-community-002","精神科護理師執行病人行為治療的過程中，有關行為治療在臨床運用之陳述，下列何項正確？ ①建立個案的增強物 ②評估個案的改變意願 ③收集個案的問題行為 ④醫療團隊人員分別規劃執行",2,{"webId":41,"stem":42,"number":43,"year":9,"session":39},"nurse-107-2-psychiatric-community-018","林先生，正處於躁症急性期，最近因忙碌進食量減少，目前服用鋰鹽（lithium carbonate），出現腹瀉、手抖、噁心嘔吐等現象，下列何者為最優先的處置？",18,{"webId":45,"stem":46,"number":47,"year":48,"session":39},"nurse-108-2-psychiatric-community-032","罹患分離焦慮症（separation anxiety disorder）的兒童，其護理重點為何？①增強病童的安全感 ②增加分離的次數 ③教導病童的因應能力 ④訓練病童的獨立性",32,108,{"webId":50,"stem":51,"number":52,"year":53,"session":39},"nurse-109-2-psychiatric-community-070","有關居家護理的描述，下列何者錯誤？",70,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-psychiatric-community-034","5 歲的小欣被愛上網咖的父母親獨自留在家裡 3 天了，被發現時只有桌上放一瓶水和一些零食。較屬於下列何項家庭暴力？",34,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-psychiatric-community-068","設置免費注射器與回收盒及保險套供應箱，是屬於三段五級預防的那一層次？",68,112,"2026-09-04",1788510704015]