[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-107-1-精神科與社區衛生護理學-039","nurse-107-1-psychiatric-community-039",107,1,39,"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？",{"A":14,"B":15,"C":16,"D":17},"無法確定王先生是否為精神病人、是否有就醫需求，應讓王先生離開急診","為防範王先生的進一步傷害行為，應直接先採取約束與隔離措施","通知王先生的家人將王先生帶到精神科門診","醫師無法立即診斷，可通知警察機關前來處理","D",null,[],"本題考點是急診面對持械、精神狀態未明個案的適切處置。依安全與法定程序原則,王先生手持水果刀、尚無法確定是否為精神病人、且醫師無法立即診斷,此屬公共安全與危險行為的情境,護理師應通知警察機關到場協處以確保人身安全與後續程序,故選 D。A 讓其離開急診,忽略其持刀且有潛在危險,置公共與自身安全於不顧,不符安全維護。B 直接先行約束隔離,錯在未經合法診斷與必要程序、且對正持刀且高度激動者貿然約束,反而升高衝突與受傷風險,約束隔離須有醫囑與適應症。C 通知家人帶至門診,對當下手持凶器的緊急危險情境緩不濟急,無法即時處理安全威脅。四選項比較後,唯有 D 兼顧即時安全與適法處置。","此類「持械、身分未明、無法立即診斷」的急診情境,處置優先序是「確保安全→啟動適法程序」,警察協處可維持現場安全並銜接強制就醫的法定流程。約束隔離並非第一線反射動作,需醫囑與適應症,且對持刀者貿然接近風險高。可連結:危險行為的安全管理、精神衛生法的協助就醫機制、約束隔離的適應症與程序。",[24,26,28,30],{"term":25,"count":10},"急診安全處置",{"term":27,"count":10},"持械危險行為",{"term":29,"count":10},"警察協處",{"term":31,"count":10},"約束隔離適應症",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-040","護理師執行暴力處置時須對病人採取隔離與約束措施，針對「拘束病人身體或限制其行動自由」，依精神衛生法施行細則第 6 條規定，應依醫囑為之，有關醫囑規定內容，應包含下列何項？①方式 ②理由 ③病人的意願 ④評估頻率 ⑤起訖時間",40,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-056","住護理之家的朱老先生，最近護理師發現他手指縫出現抓痕、紅斑，經醫師診斷為疥瘡，治療中。下列有關疥瘡之描述，何者正確？①常見於人口密集機構 ②疥蟲在皮膚表面挖出隧道產卵 ③只要 40 度高溫即可殺死疥蟲 ④照顧者常接觸，只要勤清潔不需要一同治療 ⑤常見於白天劇烈搔癢",56,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-070","社區衛生護理師選擇以社區正在流行的開放性肺結核而非高血壓作為優先處理之議題，其依據的原則，下列何者最適當？",70,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-028","根據精神疾病診斷準則手冊（diagnostic and statistical manual of mental disorders：DSM-5），有關譫妄（delirium）的敘述，下列何者正確？",28,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-072","有關喘息服務之敘述，下列何者最不適當？",72,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-026","王女士，36 歲，半年來經常感到坐立不安、肌肉緊繃、容易疲勞，入睡困難，總是過度擔心工作或家庭會發生問題。王女士最有可能的問題，為下列何者？",26,112,"2026-09-04",1788510704371]