[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-034":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-034","nurse-107-1-psychiatric-community-034",107,1,34,"有關「去機構化運動」之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"病人宜儘早回歸社區，以穩定症狀","病人長期住院後，易產生機構化現象，因此宜避免長期住院情形","應協助病人做好在社區獨立生活的能力，才能出院","去機構化是指所有病人皆不應住在機構之中","B",null,[],"本題考點是去機構化運動的核心理由。依機構化理論,病人長期住院會逐漸喪失自主與生活功能、過度依賴機構常規而產生「機構化現象」,故去機構化主張避免不必要的長期住院、協助回歸社區,選項 B 正確點出此因果。A 錯在「儘早回歸社區以穩定症狀」的邏輯,回歸社區的目的是維持功能與生活品質,不是為了「穩定症狀」,順序與目的都失焦。C 錯在把「先具備社區獨立生活能力才能出院」當作條件,這與去機構化精神相反,能力是回歸社區後持續培養的,不應成為出院的門檻。D 錯在絕對化,去機構化並非主張「所有病人皆不應住在機構」,重症或需保護者仍需適當機構照護,重點是避免不必要的長期住院。故 B 最正確。","機構化現象的表現:被動、退縮、喪失決策與自理、對機構過度依賴,如同「習得的無助」。去機構化的精神是「以社區為基礎、避免不必要長期住院」,而非「一律不住院」或「達標才准出院」。辨題原則:凡出現絕對詞(所有、皆、才能)多為陷阱。可連結:機構化、社區精神醫療、最小限制原則、精神復健的連續照護。",[24,27,30,32],{"term":25,"count":26},"去機構化",16,{"term":28,"count":29},"機構化現象",2,{"term":31,"count":10},"長期住院退化",{"term":33,"count":10},"社區精神醫療",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-psychiatric-community-035","護理師於精神復健病房擔任照護工作，其照顧慢性病患的原則，下列何者正確？",35,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-107-2-psychiatric-community-051","有關社區衛生護理與醫院護理的差異，下列何者正確？",51,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-108-2-psychiatric-community-065","依據 106 年「勞工健康保護規則」規範，雇主僱用勞工時，應就規定項目實施一般體格檢查，此檢查紀錄應至少保存多久？",65,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-023","照顧罹患身體症狀及相關障礙症的病人，須特別評估隨著症狀表現而來的附帶收獲（secondary gain），下列何項描述較適當？",23,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-067","有關獨居老人預防跌倒的安全議題，下列何者正確？",67,111,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-2-psychiatric-community-021","陳同學，18 歲，診斷為思覺失調症，父母擔心服藥會影響其學科考試成績。下列護理措施，何者最適切？",21,112,"2026-09-04",1788510704319]