[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-040":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":10},"nurse-107-2-精神科與社區衛生護理學-040","nurse-107-2-psychiatric-community-040",107,2,40,"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？",{"A":14,"B":15,"C":16,"D":17},"評估病人入院前是否曾出現暴力行為，能預測病人入院後的暴力危險性","在精神科急性病房，以焦慮症病人最容易出現暴力行為","暴力行為是突發性，不須評估年齡與症狀的影響","暴力行為的影響因素不包含意識狀態","A",null,[],"本題考點是伯姆漢（Blomhoff）等提出的暴力危險因子評估重點。實證上「過去的暴力史」是預測未來暴力最有力的指標，故評估病人入院前是否曾出現暴力行為，能預測其入院後的暴力危險性，選 A。B 錯在對象：精神科急性病房最易出現暴力者並非焦慮症病人，而是躁症、思覺失調急性期、物質使用或器質性混亂等意識與衝動控制受損者。C 錯在觀念：暴力多有前驅徵象且與年齡、症狀相關，須評估而非視為全然突發。D 錯在遺漏：意識狀態（如混亂、譫妄）正是重要的暴力影響因素，不可排除，故不選。","暴力風險評估的黃金法則：過去暴力史是最強的預測因子（過去可預測未來）。其他危險因子：診斷（躁症、思覺失調急性期、物質中毒或戒斷、器質性／譫妄）、意識與認知狀態、幻覺妄想（尤其命令式幻聽、被害妄想）、年輕男性、衝動控制差、環境擁擠與挫折。暴力多循「前驅期→爆發期→恢復期」，前驅徵象（激動、踱步、握拳、音量升高、瞪視）可供早期辨識與去升級介入，故非全然突發。記憶：評暴力先問「以前有沒有動過手」，再看診斷、意識與前驅徵象。相關概念：去升級、最少限制、隔離約束時機。",[24,26,29,31],{"term":25,"count":10},"暴力前驅徵象",{"term":27,"count":28},"暴力危險因子評估",1,{"term":30,"count":28},"過去暴力史為最強預測因子",{"term":32,"count":28},"意識狀態與診斷影響",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-041","臺灣某縣市 15 歲以上的性比小於 100，代表的意義為何？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-057","成人空腹 8 小時以上，血清三酸甘油酯高於多少，即屬於高血脂？",57,108,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-109-1-psychiatric-community-071","初任職的職業衛生護理師，要推動公司員工「代謝症候群防治」健康計劃，最好先以何種方式進行健康評估？",71,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-029","美沙冬（Methadone）本為麻醉性止痛劑，可替代嗎啡類藥物，以達到治療嗎啡類藥物成癮患者。下列敘述何者正確？",29,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-073","陳先生 75 歲，因腦中風住院，出院時留置鼻胃管及導尿管，並申請全民健康保險居家護理服務。居家護理師對照顧者的指導，下列敘述何者最不適當？",73,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-027","有關我國基層醫療保健的主要服務內容，下列何者最不適當？",27,112,3,"2026-09-04",1788510726862]