[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-108-1-基本護理學與護理行政-049","nurse-108-1-fundamental-nursing-049",108,1,49,"有關臨終病人的生理變化與照護，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"眼神散漫，眼球逐漸固定不動，瞳孔放大","定向感混亂，可能會聽到死去親友與他說話","病人進入臨終狀態，家屬應以耳語交談較佳","臨終前仍有聽覺","C",null,[],"本題考點是臨終病人的生理變化與溝通照護,要選出錯誤者。依「聽覺是臨終最後消失的感覺」此原則,家屬應以自然、清楚的正常音量與病人說話,而非耳語;耳語反使聽力減退的病人聽不清、或誤以為在背後議論而不安,故C「應以耳語交談較佳」錯誤,選C。A臨終時眼神散漫、眼球固定、瞳孔逐漸放大且對光反應消失,屬正確生理變化;B臨終病人可能定向感混亂、出現看見或聽見已故親友的臨終感知,屬常見現象;D臨終前聽覺仍存在,是最後消失的感覺,故家屬道別仍具意義。三個正確選項描述臨終生理與感知,唯C的耳語建議違反溝通原則。","臨終常見生理變化:循環衰竭(四肢冰冷發紺、脈搏細弱、血壓下降)、呼吸型態改變(陳施氏呼吸、瀕死喉音)、肌張力喪失(大小便失禁、下顎鬆弛)、感官依序退化——最先消失視覺、最後保留聽覺。照護原則:維持自然清楚說話、把握道別、避免在床邊談論不宜內容。可連結安寧療護、哀傷輔導與臨終關懷。記憶:「臨終最後走的是耳朵」,故溝通到最後一刻仍重要。",[25,28,31,33],{"term":26,"count":27},"臨終生理變化",5,{"term":29,"count":30},"聽覺最後消失",3,{"term":32,"count":11},"臨終感知",{"term":34,"count":11},"臨終溝通",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-fundamental-nursing-050","吳女士，35 歲，卵巢癌末期，處於瀕死階段，病人意識清楚時曾簽署「預立安寧緩和醫療暨維生醫療抉擇意願書」，離婚後單親撫養一位 5 歲的兒子，病人為虔誠的基督徒，病人大姊為佛教徒，趕到醫院時情緒崩潰，要求醫師想辦法讓病人活下去，護理人員於臨終照護中的角色與功能，下列敘述何者正確？",50,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-108-2-fundamental-nursing-066","某病房所有病人一天所需的總護理時數為 150 小時，該單位護理師的休假係數為 1.4，則該單位所需之護理人力至少為多少人？",66,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-fundamental-nursing-080","有關醫療成本控制，下列敘述何者錯誤？",80,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-fundamental-nursing-038","長期臥床病人若採取伐式操作法（Valsava’s maneuver）用力解便，可能導致下列何種情況？",38,110,{"webId":56,"stem":57,"number":44,"year":58,"session":11},"nurse-112-1-fundamental-nursing-002","照顧一位有自傷行為的精神科病人，下列敘述何者符合不傷害倫理原則？",112,{"webId":60,"stem":61,"number":62,"year":58,"session":30},"nurse-112-3-fundamental-nursing-036","外科加護病房配合醫院推動 6 個零（6 zero）品質計畫，護理長提出「本年度非計畫性拔管發生率 0%」的目標，符合目標管理的那些要素？①明確期間 ②目標具體 ③人員參與 ④結果回饋",36,"2026-09-04",1788510709171]