[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-028":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-028","nurse-107-2-psychiatric-community-028",107,2,28,"李太太常精神恍惚，注意力不集中，與她溝通之方式，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"詳細敘述並舉例說明，避免不耐煩","說明時重點重複，輔以手勢表達","以觸摸代替視線接觸溝通，以減低壓力","使用成語或諺語，幫助了解","B",null,[],"本題考點是失智病人注意力不集中、精神恍惚時的溝通技巧。個案專注力短暫，訊息須簡化並強化才能被接收，最適當者為說明時抓重點重複，並輔以手勢等非語言線索幫助理解，選 B。A 詳細敘述並舉例說明，資訊量過大、超出其注意力負荷。C 以觸摸「代替」視線接觸，觸摸雖可為輔助，但完全取代眼神接觸並不恰當，且對多疑者未必安全，溝通仍應保有適度目光。D 使用成語或諺語屬抽象語言，失智者抽象思考退化難以領會，皆不如簡短重複加手勢有效。","與失智者溝通的通則：簡短、具體、重複、多感官。因注意力與抽象思考退化，宜用短句、一次一個訊息、關鍵字重複，並以手勢、示範、實物等視覺線索補強語言（多管道降低理解負荷）。避免抽象語言（成語、諺語、比喻）與冗長舉例。溝通前先取得注意（正面、和緩、適度眼神接觸），語速放慢、語氣平穩。觸摸可作輔助安撫，但不宜完全取代目光交流。記憶口訣：「短、慢、重、比手畫腳」。相關概念：非語言溝通、現實導向、多感官刺激。",[24,27,29,31],{"term":25,"count":26},"失智溝通技巧",1,{"term":28,"count":26},"重點重複與非語言線索",{"term":30,"count":26},"避免抽象語言",{"term":32,"count":26},"注意力受損調適",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-029","照護李太太時，所採行之護理措施，下列何者較適當？",29,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-045","社區護理師評價民眾在高血壓防治宣導計畫後，對高血壓防治的知識及態度的改變，是屬於何種評值？",45,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-059","衛生福利部國民健康署重視對民眾賦權（empowerment）的過程，透過三項策略來提升民眾的健康識能（health literacy），下列敘述何者錯誤？",59,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-017","有關病人於住院期間憂鬱症的照護，下列敘述何者正確？",17,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-061","有關自來水廠水質處理工程中曝氣法（aeration）的目的，下列何者最適當？①增加水中溶氧量 ②去除不良氣味 ③降低 pH 值 ④淨化水質",61,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-015","林先生患第一型雙相情緒障礙症（Bipolar I Disorder）多年，當其在躁症發作時，很容易與人起衝突，而出現攻擊行為，下列護理措施何者正確？①將病人留在現場 ②鼓勵病人以言語表達其感受 ③必要時，帶入保護室隔離 ④以堅定口氣指示病人適當的行為",15,112,3,"2026-09-04",1788510726755]