[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-108-1-產兒科護理學-057","nurse-108-1-maternal-pediatric-057",108,1,57,"小華，4 歲，因急性腸胃炎住院，護理師與其溝通時，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"先讓小華熟悉護理師的存在","配合小華的高度與他談話","首次互動宜安排與小華單獨談話","避免告知小華「打針一點都不痛」","C",null,[],"本題考點在學齡前幼兒（4 歲）的溝通技巧，須選出錯誤者。4 歲兒童處於分離焦慮與陌生焦慮階段，首次互動安排單獨談話會加重其恐懼與抗拒，應有主要照顧者在場提供安全感，故選項 C 為錯誤做法，即為答案。選項 A 先讓幼兒熟悉護理師存在、循序建立信任，做法正確。選項 B 配合幼兒高度平視談話，可減少威脅感，正確。選項 D 避免說「打針一點都不痛」，因誠實原則能維持信任，若日後感到痛會失去對醫護的信賴，此為正確做法。","與兒童溝通的發展考量：學齡前兒童具體思考、易恐懼、需具象與遊戲式說明。核心原則「誠實、平視、漸進、有伴」。誠實原則尤重要——絕不以「不痛」欺瞞，可改說「會有一點刺刺的，像被捏一下」。可連結概念：治療性遊戲、分離焦慮（抗議—絕望—疏離三期）、幼兒陌生焦慮。此題與 072 的術前心理準備相呼應，皆強調誠實與符合發展階段的溝通。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":29},"分離焦慮",13,{"term":31,"count":32},"學齡前溝通",2,{"term":34,"count":32},"誠實原則",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-maternal-pediatric-058","有關兒童呼吸與脈搏之測量與評估，下列何者正確？",58,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-108-2-maternal-pediatric-074","有關於先天性腎上腺素增生症（congenital adrenal hyperplasia, CAH），下列敘述何者正確？",74,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-109-2-maternal-pediatric-008","林女士 28 歲，孕前體重 56 公斤，目前懷孕 20 週，此次產檢體重為 64 公斤，血壓為 148\u002F94 mmHg，尿蛋白 1+，下列護理指導何者最適當？",8,109,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-110-2-maternal-pediatric-046","美國精神疾病診斷準則手冊第五版（DSM-5）將自閉症、亞斯伯格症及未分類廣泛性發展障礙，統稱為自閉症類群障礙症（autism spectrum disorder, ASD），有關其身心表徵，下列何者錯誤？",46,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-maternal-pediatric-010","有關衛生福利部國民健康署對婦女妊娠期體重增加之建議，下列敘述何者正確？",10,112,{"webId":60,"stem":61,"number":62,"year":58,"session":63},"nurse-112-3-maternal-pediatric-044","小恩，12 歲，接受化學治療出現掉髮，顯得悶悶不樂，不願離開病房與他人互動。有關其護理措施，下列敘述何者錯誤？",44,3,"2026-09-04",1788510710693]