[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-027":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-108-2-基本護理學與護理行政-027","nurse-108-2-fundamental-nursing-027",108,2,27,"下列何者屬於間接觀察法（indirect observation）之觀察項目？①觀察傷口出現 50%的腐肉 ②叩診腹部為鼓音 ③查閱病歷 Hb：10g\u002FdL ④經會診報告得知病人雙側肺葉浸潤 ⑤聽診呼吸音雙下肺葉為囉音（rales） ⑥查閱護理紀錄了解病人疼痛緩解程度",{"A":15,"B":16,"C":17,"D":18},"①②③","①②⑤","③④⑥","②④⑥","C",null,[],"本題考點為資料收集中直接觀察與間接觀察的區別。間接觀察指非親自以感官直接察看病人,而是透過既有紀錄、檢驗報告或他人會診結果取得資料。③查閱病歷Hb:10g\u002FdL、④經會診報告得知雙側肺葉浸潤、⑥查閱護理紀錄了解疼痛緩解程度,皆是透過文件或報告獲得,屬間接觀察,選C(③④⑥)。①觀察傷口腐肉為視診、②叩診腹部鼓音、⑤聽診呼吸音囉音,都是護理師親自運用感官直接評估,屬直接觀察。判別在於資料來源是「親自觀察」或「查閱轉述」。","觀察法分直接與間接:直接觀察靠視、聽、觸、叩、嗅等感官親自評估病人(視診傷口、聽診呼吸音、叩診、觸診脈搏);間接觀察則來自病歷、檢驗\u002F影像報告、會診意見、他人交班等二手來源。臨床資料收集常兩者並用以交叉驗證。辨題訣竅:出現「查閱、報告、會診得知、紀錄顯示」等字眼多為間接;凡護理師當下用身體評估技巧取得者為直接。此區分亦連結資料的「初級來源(病人本人)」與「次級來源(紀錄、家屬、團隊)」概念。",[25,28,30,33],{"term":26,"count":27},"身體評估",4,{"term":29,"count":11},"資料收集",{"term":31,"count":32},"直接觀察",1,{"term":34,"count":32},"間接觀察",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-028","急診通知一位骨折病人將轉入病房，護理師開始查閱其電子病歷，收集相關資料，並準備入院用物，此屬於專業性人際關係建立的那一期？",28,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-fundamental-nursing-044","王先生中風後，有吞嚥困難，現協助其由口進食，下列措施何者不適當？",44,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-058","有關彼得‧杜拉克（Peter F. Drucker）所提的目標管理（management by objective；MBO）之敘述，下列何者正確？①是一個過程導向的系統管理模式 ②藉由參與式管理逐層轉化 ③目標為激勵部屬的工具 ④部屬可以自我控制進度 ⑤評價時以部屬成效為根據",58,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-fundamental-nursing-016","有關口服藥物給予方式，下列何者正確？①服用輕瀉劑應減少水分攝取 ②止吐劑應在飯後立即服用 ③鹽類緩瀉劑可與冬瓜茶一起服用 ④咳嗽糖漿避免與水共服",16,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-fundamental-nursing-060","有關願景內涵的敘述，下列何者最適宜？",60,112,{"webId":60,"stem":61,"number":43,"year":62,"session":32},"nurse-113-1-fundamental-nursing-044","能提供病人連續性、協調性、整體性及個別性的照護，亦能增加護理人員的責任感及自主性。屬於下列何種護理照護模式？",113,"2026-09-04",1788510705735]