[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-038","nurse-107-2-psychiatric-community-038",107,2,38,"林小姐主動向護理師表示：「我的存在造成了家人的困擾」、「有什麼方法可以解脫」、「吃安眠藥會死嗎？」，此時護理師要對林小姐進行自殺危險程度評估，護理師之回應，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"我陪您去參加活動，轉移您難過的心情","談談您家人對您做了什麼？讓您有這種感覺？","服用安眠藥不會死，談談如何活著？","還有什麼想法閃過心頭？這個想法有多強烈？","D",null,[],"本題考點是自殺危險程度評估中「直接探詢自殺意念與強度」的溝通技巧。個案已透露活著造成家人困擾、想解脫、詢問吃安眠藥會不會死，出現明顯自殺意念，護理師應直接、具體地評估其想法內容與強度，故最適當回應為問「還有什麼想法閃過心頭？這個想法有多強烈？」，選 D。A 陪去活動、轉移心情，迴避了自殺評估。B 追問家人做了什麼，把焦點引向他人與過去，偏離立即的風險評估。C「安眠藥不會死」提供了方法的錯誤保證且輕描危險，反而不當，皆不如直接評估意念與強度適當。","自殺評估的原則：直接、具體、不迴避。研究一致顯示，直接詢問自殺意念不會誘發自殺，反而讓個案感到被理解、願意透露。評估須涵蓋意念（想法內容與頻率強度）、計畫（方法是否具體）、方法可及性與致命性、時間急迫性、過往企圖史與保護因子。本題正確回應在於「探問想法還有哪些、強度多高」，屬意念與強度的直接評估。切忌轉移話題、聚焦他人，或對方法給予錯誤保證（如告知致死劑量或斷言不會死）。記憶：評估自殺要「敢問、問清楚、問強度與計畫」。相關概念：自殺危險分級、安全計畫、去除致命工具。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"自殺危險評估",6,{"term":31,"count":32},"直接探詢自殺意念",1,{"term":34,"count":32},"意念強度與計畫",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-psychiatric-community-039","對病人採取約束處置應進行密切觀察，密切觀察的主要項目應包含那些？①個人衛生 ②病人的生理需求 ③有無人陪伴 ④脈搏及呼吸",39,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-2-psychiatric-community-055","目前臺灣全民健保居家護理訪視費用的給付項目，下列何者錯誤？",55,108,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-109-1-psychiatric-community-069","社區護理師為提升懷孕新住民的健康識能（health literacy），下列何者較不適當？",69,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-2-psychiatric-community-027","邱同學在會考前 1 個月，每次學校模擬考時都感到右手無力，被家人送到神經內科求診，但經多科醫師會診及檢查，卻找不到任何跟生理病變有關的證據，邱同學最有可能是下列何項診斷？",27,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-psychiatric-community-071","有關學校護理師應用流行病學方法進行校園評估的目的，下列何者最不適當？",71,111,{"webId":61,"stem":62,"number":63,"year":64,"session":65},"nurse-112-3-psychiatric-community-025","林先生，60 歲，罹患思覺失調症已 40 年，目前無明顯精神症狀，自我照顧功能下降需他人協助生活照顧，無其他家人可協助照料。依林先生之狀況，最適合安排下列何種精神醫療資源？",25,112,3,"2026-09-04",1788510726847]