[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-107-2-精神科與社區衛生護理學-026","nurse-107-2-psychiatric-community-026",107,2,26,"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？",{"A":14,"B":15,"C":16,"D":17},"疾病已慢性化，應順其自然","每日定時與病人接觸，並做簡短自我介紹","介紹認識周圍病友，並鼓勵病人背誦姓名","對於最近發生的事，皆請病人表達感受","B",null,[],"本題考點是失智症記憶障礙病人關係建立初期的溝通策略。個案對人名與新近事件很快遺忘（近期記憶受損），故關係建立須靠「規律、重複、可預期」來累積熟悉感，最適當者為每日定時與病人接觸並做簡短自我介紹，選 B。A「疾病慢性化、順其自然」屬消極放棄，不符護理積極介入原則。C 鼓勵病人背誦病友姓名，超出其記憶能力、易造成挫折。D 對最近發生的事請病人表達感受，正好觸及其受損的近期記憶，會凸顯失敗與焦慮，皆不適當。","失智以近期記憶（recent memory）受損為早期特徵、遠期記憶相對保留。與其建立關係與溝通的核心是「降低記憶負荷、提供可預期性」：固定的人、固定的時間、簡短一致的自我介紹，用重複建立熟悉；避免要求即時回憶新資訊（背名字、複述近期事件）以免挫敗。搭配現實導向（時間、地點、人物提示）與正向、非考問式的互動。記憶：對失智者要「不考試、多提示、常重複」。相關概念：現實導向治療、確認治療（validation therapy）、避免與妄想或錯誤記憶正面爭辯。",[24,27,29,31],{"term":25,"count":26},"失智近期記憶受損",1,{"term":28,"count":26},"規律重複建立熟悉感",{"term":30,"count":26},"簡短自我介紹",{"term":32,"count":26},"避免記憶考問",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-027","李太太在住院期間，對事物常有誤解或懷疑，導致憤怒或攻擊行為問題，護理師之處理方式，下列何者較適當？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-043","A、B 兩國之年齡標準化死亡率（standardized death rate）相同，但 A 國之粗死亡率（crude death rate）卻大於 B 國，下列原因何者最有可能？",43,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-057","有關學童口腔衛生教學活動的情意目標設定，下列何者正確？",57,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-015","有關雙相情緒障礙（bipolar disorder）的病因，下列敘述何者正確？",15,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-059","為社區民眾進行護理指導時，下列策略何者無法促進情意層面的改變？",59,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-013","28 歲男性病人，因嚴重精神病症狀，語無倫次及攻擊他人，連續注射 5 mg 的 haloperidol（Haldol ® ）達每天 20～30 mg，護理師發現他的生命徵象極不穩定、吞嚥困難、全身冒汗，對此抗精神病藥物惡性症候群，下列何項敘述最適切？",13,112,3,"2026-09-04",1788510726730]