[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-019":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-019","nurse-107-1-psychiatric-community-019",107,1,19,"陳先生，48 歲，診斷思覺失調症，入院第 4 天，表示自己是孫悟空齊天大聖，具有七十二變的能力，活動量大，時有膜拜行為，表示看到觀世音菩薩降臨，偶有做出打鬥行為，表示要與邪魔鬥法，無法安靜用餐，進食量差，必須提醒下才可完成自我照顧，下列那一項護理措施最適切？",{"A":14,"B":15,"C":16,"D":17},"能區辨現實與幻覺之差異","建立良好的人際互動模式","維持身體基本需求","增強自我肯定及價值","C",null,[],"本題考點在於依需求優先次序決定思覺失調症病人的護理重點。個案有誇大與宗教妄想、活動量大、進食量差、需提醒才能完成自我照顧，依馬斯洛需求層次，生理與安全等基本需求應優先滿足；其活動量大又進食不足，最迫切的是維持身體基本需求（營養、水分、休息、安全），故選 C。A 區辨現實與幻覺、B 建立人際互動、D 增強自我肯定雖為後續重要目標，但皆屬較高層次需求，須待生理基本需求穩定後再處理，故此時並非最優先。","護理計畫排序常回到馬斯洛需求層次：生理需求（進食、水分、睡眠、排泄）最基礎，其次安全，再往上是愛與歸屬、自尊與自我實現。急性期的思覺失調症病人若因妄想或過度活動而攝食不足、體力耗竭，會出現營養不良、脫水甚至衰竭的風險，故「維持身體基本需求」必須先被滿足。至於協助辨識現實與幻覺、重建人際、提升自我價值，屬於心理社會層次的介入，是病情較穩定後的康復目標。本題設計即在測驗「先顧生理、再處理心理社會」的優先判斷。記憶點：命再重於病識感，先讓他吃得下、撐得住。",[24,27,29,31],{"term":25,"count":26},"馬斯洛需求層次",10,{"term":28,"count":10},"生理基本需求優先",{"term":30,"count":10},"思覺失調急性期護理",{"term":32,"count":10},"營養與體力維持",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-020","許先生最近出現情緒高昂、易怒、誇大想法、多話、注意力分散、睡眠時數少，請問以上這些症狀需持續多久時間才能診斷為躁症發作（manic episode）？",20,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-psychiatric-community-036","陳小姐，28 歲，診斷為思覺失調症（昔稱精神分裂症），剛接受醫師轉介接受精神復健機構（住宿型）的照護服務，有關該項服務，下列何者正確？",36,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-108-2-psychiatric-community-050","有關醫療廢棄物的處理敘述，下列何者正確？",50,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-008","病人服用抗精神病藥物，有關錐體外徑副作用（extrapyramidal symptoms; EPS）之敘述，下列何者正確？",8,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-052","下列何者為永續經營社區健康營造中心最不需考量的重點？",52,111,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-112-2-psychiatric-community-006","陳女士，35 歲，診斷雙相情緒障礙症，護理師在詢問家族病史中得知此次是陳女士首次發病，她的母親也是雙相情緒障礙症的病人，依病因模式，最符合以下何項病因因素？",6,112,"2026-09-04",1788510704173]