[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-029":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-029","nurse-107-2-psychiatric-community-029",107,2,29,"照護李太太時，所採行之護理措施，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"每日生活作息多變化，多選擇性，避免記憶力障礙惡化","提供現實導向之支持性環境，多感官刺激活動，避免功能退化","每日安排不同的照顧者，以增強對人的辨識能力","白天儘量安排消耗體力活動，以促進睡眠","B",null,[],"本題考點是失智症住院照護措施的整體原則。失智者需要穩定、可預期並能維持定向與功能的環境，最適當者為提供現實導向的支持性環境、安排適度多感官刺激活動以延緩功能退化，選 B。A 每日作息多變化、多選擇，反使定向感喪失、增加混亂與焦慮。C 每日更換照顧者，破壞熟悉與信任、加重人物辨識困難，與維持辨識能力的目標背道而馳。D 白天大量消耗體力以促眠，過度活動易致疲累、跌倒與情緒躁動，且非改善睡眠的正解，皆不適當。","失智照護環境原則：一致、可預期、適度刺激。規律作息與熟悉的人事物提供定向與安全感；現實導向（時鐘、日曆、指標、稱名提示）維持定向；多感官與懷舊活動（音樂、觸覺、園藝）給予適度刺激延緩退化，但須避免過度刺激導致躁動。照顧者宜固定以利信任與辨識。睡眠問題應以規律作息、白天適度（非過度）活動與光照、減少午睡與夜間刺激來調整，而非以體力耗竭處理。記憶：失智要「穩定不變的環境＋剛剛好的刺激」。相關概念：現實導向治療、日落症候群、環境治療。",[24,27,29,31],{"term":25,"count":26},"現實導向治療",1,{"term":28,"count":26},"支持性穩定環境",{"term":30,"count":26},"多感官刺激延緩退化",{"term":32,"count":26},"固定照顧者",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-030","「遺尿症（enuresis）」是指兒童在幾歲後仍會重複地尿濕衣服？",30,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-046","張護理師想要開立 49 床一般護理之家，下列那一個聘用照護人力方式，能夠符合法規最低人力規範？",46,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-060","依據 Pender 健康促進模式，護理師引導李小姐審思維持目前久坐少動行為問題的價值，因而有改變行為的想法，與其設定可達成但具挑戰性的目標，鼓勵持續參與運動社團及少坐多動，也鼓勵李小姐記錄運動和少坐的頻率與運動和少坐帶來的好處之關聯，並給予正向回饋，讓李小姐由成功的經驗，增強信心與動機。以上敘述運用到那些行為改變策略？①自我再評估 ②設定改變的目標 ③處理障礙因子 ④提升自我效能 ⑤強化改變的效益 ⑥訂定契約",60,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-018","有關躁症病人住院期間的活動安排，下列何項措施最適當？",18,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-062","有關傳染病與其病媒的敘述，下列何者錯誤？",62,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-016","李同學，18 歲，第一次被診斷為第一型雙相情緒障礙症，護理師向李同學及家屬進行護理指導時，下列何者最適宜？",16,112,3,"2026-09-04",1788510726761]