[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-024","nurse-107-1-psychiatric-community-024",107,1,24,"陳女士，50 歲，診斷為思覺失調症，目前居家生活中，其症狀穩定可持續參加社區工作坊活動，她接受工作訓練與自我照顧技能訓練，下列護理措施何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"提供其用藥建議與監測","加強其個人衛生與建立生活作息","協助申請競爭性工作的就職機會","轉介個案至護理之家，以適應老年生活","B",null,[],"本題考點是症狀穩定、居家的思覺失調症個案在復健階段的護理優先序。依精神復健「維持功能、預防退化」原則,此類個案雖能參加工作坊,但慢性病人最易流失的是基本生活功能與規律作息,故護理措施應以加強個人衛生、建立穩定生活作息為基礎,鞏固日常功能,選 B。A 用藥建議與監測屬醫療處置且非此階段護理最主要焦點,個案症狀已穩定。C 協助申請「競爭性就業」對仍在自我照顧訓練階段者過度躁進,應先支持性就業再談競爭性職場。D 轉介護理之家並不適合症狀穩定、能社區生活的中年個案,與去機構化及回歸社區的方向相反。比較後,B 才是切合其復健程度的地基工作。","精神復健常用「金字塔」概念:底層是自我照顧與作息,中層是社交與職能訓練,上層才是就業。個案能到工作坊不代表底層穩固,護理焦點回到最易退化的生活功能。就業安排也有階序:庇護性\u002F支持性就業 → 競爭性就業,C 跳級。可連結:去機構化、日常生活功能(ADL\u002FIADL)、支持性就業模式、慢性精神病人的功能退化預防。",[24,27,30,32],{"term":25,"count":26},"精神復健",15,{"term":28,"count":29},"自我照顧功能",2,{"term":31,"count":10},"生活作息重建",{"term":33,"count":10},"就業安置階序",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-psychiatric-community-025","有關蘇小姐因強迫症嚴重住院治療，常出現重複洗手行為，下列治療策略何者最適切？",25,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-107-2-psychiatric-community-041","臺灣某縣市 15 歲以上的性比小於 100，代表的意義為何？",41,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-108-2-psychiatric-community-055","目前臺灣全民健保居家護理訪視費用的給付項目，下列何者錯誤？",55,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-013","王先生，在家因覺得有人要害他、跟蹤他而不敢睡覺，故由父親帶來住院，住院後仍覺得周遭的人不懷好意，護理師提供之照護措施，下列何者正確？①同理並接受病人感受 ②主動積極接觸關懷病人 ③評估妄想對病人生活干擾的程度 ④不要與病人爭辯妄想的真實性",13,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-057","有關體適能的敘述，下列何者錯誤？",57,111,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-2-psychiatric-community-011","治療過程中，治療者提供無條件正向關懷與接納，強調人類成長和自我實現的潛能，此為下列那一種治療法？",11,112,"2026-09-04",1788510704228]