[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-039","nurse-107-2-psychiatric-community-039",107,2,39,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","②③④","①③④","B",null,[],"本題考點是身體約束期間密切觀察的必要項目。約束會限制活動並帶來生理與安全風險，密切觀察應涵蓋：協助維持個人衛生（①）、滿足病人的生理需求如進食、如廁、飲水（②）、以及監測脈搏與呼吸等生命徵象與循環狀況（④），故①②④正確，選 B。③「有無人陪伴」並非約束觀察的核心監測項目——約束期間本應由醫護持續監看，重點在生理安全與需求的滿足，而非記錄是否有人陪伴，故含③的 A、C、D 皆不選。","身體約束屬最後手段，須有醫囑、定時評估與嚴密監測，以防併發症與維護尊嚴。觀察與照護重點：生命徵象與循環（脈搏、呼吸、膚色、末梢血循，防約束過緊致缺血或壓迫）、被約束肢體的活動度與皮膚完整性（定時鬆綁活動、防壓瘡與神經血管損傷）、基本生理需求（進食、飲水、如廁、姿位變換）、個人衛生與舒適、情緒安撫，並持續評估是否可儘早解除約束。記憶：約束觀察看「生命徵象＋生理需求＋肢體血循皮膚」。相關概念：最少限制原則、約束的醫囑與時限、去升級替代約束。",[24,27,29,31],{"term":25,"count":26},"最少限制原則",7,{"term":28,"count":10},"身體約束照護",{"term":30,"count":10},"生命徵象監測",{"term":32,"count":10},"基本生理需求滿足",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-040","依據伯姆漢（Blomhoff）及多位國內學者提出評估病人的暴力危險因子，下列描述暴力危險因子何項最適當？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-056","有關代謝症候群的防治策略，下列何者為初段預防？",56,108,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-109-1-psychiatric-community-070","目前全民健保所提供的免費產前檢查項目，下列何者正確？",70,109,1,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-2-psychiatric-community-028","有關物質使用障礙心理治療的敘述，下列何者錯誤？",28,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-072","有關居家式照顧服務的敘述，下列何者較不適當？",72,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-psychiatric-community-026","有關全民健康保險的敘述，下列何者正確？①屬強制性社會保險 ②主要收入來源為保險費 ③被保險人所負擔的眷屬數最多計算到 3 人 ④除特殊對象外，採部分負擔制",26,112,3,"2026-09-04",1788510726859]