[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-010":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-107-1-精神科與社區衛生護理學-010","nurse-107-1-psychiatric-community-010",107,1,10,"邱先生，38 歲，診斷為思覺失調症，入院時，身上發出油垢味，衣服髒亂，家屬表示病人生活都可自理，惟獨洗澡需要催促的情況下可以完成，護理師要求邱先生入院後先整理外觀，下列那一項措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"請家屬直接帶到浴室洗澡","請邱先生準備洗澡用物去洗澡","請其他病友向個案表達聞到他身上發出異味的感受，以激勵個案洗澡的意願","尊重個案的習慣，不強迫個案洗澡，同理個案的行為是因為疾病所致，待治療後即可改善","B",null,[],"本題考點在於促進思覺失調症病人自我照顧的護理策略。個案生活多能自理、僅洗澡需催促，依「維持並善用既存自理能力、給予適度督促」的復健原則，最適宜的是請病人自己準備洗澡用物、自行完成洗澡，故選 B。A 錯：由家屬直接帶去洗澡剝奪病人的自主與既有能力。C 錯：請病友當面表達其異味感受屬羞辱式做法，會傷害自尊、破壞治療關係。D 錯：以「疾病所致」為由完全不要求、被動等待治療，等於放棄善用其現有自理能力，也不利功能維持，故不適宜。","精神復健的核心精神是「用進廢退」——盡量讓病人做他做得到的事，護理師提供的是結構、提示與督促，而非代勞。本題個案的功能評估很關鍵：日常生活可自理、只有洗澡需要催促，代表能力仍在，缺的是啟動與提示。因此正確介入是提供具體、可執行的引導（準備用物、逐步提示、必要時陪伴），既維持自尊又促進自主。過度協助（家屬代辦）會加速功能退化；羞辱式激勵（讓病友嫌棄）違反尊重與治療關係；完全不介入則是把「同理疾病」誤用成放任。記憶原則：能做的讓他自己做，護理師只給鷹架不給代勞。",[24,27,29,31],{"term":25,"count":26},"精神復健",15,{"term":28,"count":10},"自我照顧能力維持",{"term":30,"count":10},"適度督促",{"term":32,"count":10},"維護自尊",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-011","護理師提供病人以任務為導向的「認知行為治療」，針對「認知行為治療」之相關陳述，下列何項正確？①著重於處理此時此刻的問題 ②強調兒童早期發展階段的問題 ③協助克服日常生活中適應不良的困難 ④引導病人調整想法和行為",11,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-psychiatric-community-027","李太太在住院期間，對事物常有誤解或懷疑，導致憤怒或攻擊行為問題，護理師之處理方式，下列何者較適當？",27,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-108-2-psychiatric-community-041","欲了解社區中罕見疾病的危險因子，下列何種流行病學方法最適合？",41,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-psychiatric-community-079","下列何項血液檢查可以反映出糖尿病病人長期血糖控制是否良好？",79,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-043","劉小姐，50 歲，其可使用的全民健康保險中的預防保健服務，下列何者正確？①每年一次的成人健康檢查 ②每 3 年一次的成人健康檢查 ③每 2 年一次的婦女子宮頸抹片檢查 ④每 2 年一次的乳房攝影檢查",43,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-psychiatric-community-077","王老先生 78 歲，接受成人健檢抽血檢查發現腎絲球過濾率值（GFR）為 53 mL\u002Fmin\u002F1.73 m 2 前來健康諮詢。社區護理師的衛教與評估，下列何項最不適宜？",77,112,"2026-09-04",1788510704093]