[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":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-038","nurse-107-1-psychiatric-community-038",107,1,38,"林小姐是高功能自閉症個案，近日因為找工作受挫，感到無助與無望並有自殺意念，家人要求住院治療，但是病人拒絕住院，當護理師在面對自殺議題時，所應抱持的態度，下列何項敘述最適切？",{"A":14,"B":15,"C":16,"D":17},"自殺是個人的選擇，應尊重個人的自主權","自殺行為是出於個人自由意志，無法防範自殺","身為護理師應運用護理專業，盡最大可能防範個人自我傷害","高功能自閉症個案，不應被強制住院防範自殺","C",null,[],"本題考點是護理師面對自殺議題應持的專業態度。依自殺防治的專業倫理與生命保護原則,自殺意念多是可介入、可預防的危機狀態,護理師應運用專業盡最大可能防範個案自我傷害,故選 C。A 主張「自殺是個人選擇,應尊重自主權」錯在把急性自殺危機等同於理性自主決定,忽略此時判斷常受精神症狀影響,且生命保護優先。B 認為「自殺出於自由意志、無法防範」是消極放棄,與自殺可預防的實證相悖,亦違背護理照護責任。D 主張「高功能自閉症個案不應被強制住院防範自殺」錯在以診斷否定必要的保護性處置,當有明確自傷風險時,依法可採保護措施,不因其為高功能自閉症而豁免。四選項比較後,僅 C 符合積極防治與生命保護的專業立場。","自殺防治核心信念:自殺意念多屬暫時且矛盾(既想死又想被救),多數可介入,故護理採「主動保護、積極介入」而非旁觀尊重。倫理上,當自主與生命保護衝突,急性危機期以保護生命優先(仁慈與不傷害原則)。可連結:自殺可預防性、自殺矛盾心理、保護性約束\u002F住院的法律依據、危機處置。",[24,27,30,32],{"term":25,"count":26},"危機處置",4,{"term":28,"count":29},"自殺防治",3,{"term":31,"count":10},"生命保護原則",{"term":33,"count":10},"護理專業責任",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-psychiatric-community-039","王先生不確定是否為精神科病人，因為在街頭揮舞水果刀，被居民合力帶至醫院急診室求治，王先生見到精神科醫師，仍拿著水果刀對醫師表示：「你若敢動我，我就告你侵犯人身自由，我又沒怎樣，我只是在運動」，此時急診護理師採取的措施，下列何項最適切？",39,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-psychiatric-community-055","下列何者不是家庭增能（family empowerment）的表現？",55,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-108-2-psychiatric-community-069","陳先生早餐吃了蛋製品，餐後有腹瀉、腹痛、噁心、嘔吐及發燒症狀。他最有可能是下列何種細菌引起之食物中毒？",69,108,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-psychiatric-community-027","酒精成癮的病人，因長期缺乏下列何種維生素，導致維尼克氏腦症（Wernicke’s encephalopathy），出現意識障礙、眼肌麻痺、運動失調症狀？",27,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-psychiatric-community-071","衛生福利部推動職場健康促進的歷程依序為何？①強化職場健康促進計畫 ②推廣職場健康體適能、職場戒菸、戒檳榔和降低體脂肪 ③結合各種資源推行職場健康促進模式 ④健康職場認證",71,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-psychiatric-community-025","陳先生，近三個月多次忽然間感到胸痛、心悸、發抖、透不過氣，失去現實感等症狀，可在幾分鐘後緩解，經各項身體檢查顯示並無生理疾病，但之後陳先生仍持續擔心症狀會再度發作並死亡。下列敘述何者為陳先生最可能的診斷？",25,112,"2026-09-04",1788510704363]