[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-107-2-精神科與社區衛生護理學-025","nurse-107-2-psychiatric-community-025",107,2,25,"住院治療中，護理師進行護理評估後，下列何者是最首要之護理目標？",{"A":14,"B":15,"C":16,"D":17},"能主動性參與病房活動，增進學習能力","維護病患安全，預防發生危害事件","增強人際互動與社交能力，避免常認錯人","促進正向的思考與有效的溝通技巧","B",null,[],"本題考點是失智症住院病人護理目標的優先順序。個案有夜間遊走、翻箱倒櫃、情緒起伏大、被害妄想（認為鄰居下毒）等表現，這些都直接構成跌倒、走失、衝突與自他傷害的安全風險，依馬斯洛需求層次生理與安全需求優先，故最首要目標為維護病患安全、預防危害事件，選 B。A 增進學習能力、C 增強社交與辨識、D 促進正向思考與溝通，都屬較高層次或後續的目標，須在安全獲得保障之後方能推進，故非最首要。","失智照護排序遵循馬斯洛：安全（防跌、防走失、防自他傷）＞基本生活（進食、如廁、睡眠）＞心理社會（認知刺激、人際、情緒）。本案的夜間遊走與被害妄想是明確的安全紅旗——遊走致走失跌倒，妄想致攻擊或拒食。安全措施包括環境防護（防跌設施、門禁防走失、移除危險物）、規律作息與現實導向、非藥物優先處理精神行為症狀（BPSD）。記憶：任何看似複雜的失智題，先問「病人會不會受傷或走丟」，安全永遠打底。相關概念：BPSD、遊走、日落症候群（sundowning）。",[24,27,30,32],{"term":25,"count":26},"馬斯洛需求層次",10,{"term":28,"count":29},"失智症安全照護",1,{"term":31,"count":29},"遊走與被害妄想",{"term":33,"count":29},"精神行為症狀",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-psychiatric-community-026","李太太呈現記憶力障礙，對人名及新近發生的事很快就忘記，護理師與李太太建立關係初期，應採何種方式較適當？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-042","下列何者是用來比較國家公共衛生與醫療進步最敏感與評估婦幼衛生工作推展成效的指標？",42,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-psychiatric-community-056","社區健康評估的診斷期，應包括下列那些步驟？①歸納資料要點 ②解釋與組織資料 ③陳述社區健康問題 ④設立社區健康問題的優先順序 ⑤確認目標 ⑥訂定達成目標的策略與行動 ⑦確認預算與進度",56,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-2-psychiatric-community-014","對於缺乏病識感的思覺失調症住院病人，拒絕服藥時，下列處理何者較為適當？",14,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-058","有關健康促進介入措施描述，下列何者最不適當？",58,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-psychiatric-community-012","有關情緒穩定劑 carbamazepine 的敘述，下列何者正確？",12,112,3,"2026-09-04",1788510726714]