[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-072","nurse-108-2-fundamental-nursing-072",108,2,72,"護理長授權三班組長保管麻醉藥品，且每班必須清點數目。若麻醉藥品數量出現問題，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"護理長已經授權給組長，故由組長負最後管理責任","應是取用藥品者個人的疏失問題，與管理無關","護理長是病房的管理者，應負最後管理責任","由組長與取用藥品者共同負最後的責任","C",null,[],"本題考點是護理管理中的「授權」與「最終責任」概念。依管理學原則，主管可以「授權」（delegation）執行任務給部屬，但「最終責任」（accountability）不可轉移，仍由授權者承擔，故護理長身為病房管理者需負最後管理責任，選 C。選項 A 錯在誤把責任隨授權一併下放給組長，違反責任不可授權原則；選項 B 錯在將問題化約為個人疏失、切割管理責任，忽略系統與管理層督導義務；選項 D 錯在把最終責任分攤給組長與取藥者，同樣違反最終責任集中於管理者的原則。考點在於辨識授權後責任歸屬的層級。","管理三概念要分清：責任（responsibility，被指派去做）、職權（authority，被賦予做的權力）、當責（accountability，最終要負責交代）。授權時可下放前兩者，但當責留在主管身上，這是「responsibility can be delegated, accountability cannot」的核心。麻醉藥品（管制藥品）依規定需雙人清點、專責保管，護理長對病房藥品安全負督導與系統把關之責。記憶口訣：授權放得出去的是『做』的權與責，收不回來的是『交代』的當責。可連結病人安全的系統觀（James Reason 瑞士起司模型）——出錯多為系統漏洞，管理者責任在補洞。",[25,28,30,32],{"term":26,"count":27},"授權 delegation",1,{"term":29,"count":27},"當責 accountability",{"term":31,"count":27},"最終管理責任",{"term":33,"count":27},"管制藥品保管",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-fundamental-nursing-073","下列何者是異常事件通報最主要目的？",73,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-109-2-fundamental-nursing-009","有關需要更換存留導尿管情況之敘述，下列何者正確？①尿液 pH 值呈弱酸性 ②尿道分泌物有異臭味 ③出現絮狀沉澱物，致引流不暢 ④導管更換時間依材質而定 ⑤病人有尿液滲漏情形",9,109,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-110-1-fundamental-nursing-023","局部用冷會產生那些生理現象？①減輕組織腫脹 ②鬆弛僵硬的組織 ③降低細胞新陳代謝 ④容易導致寒顫發生 ⑤減輕疼痛",23,110,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-111-1-fundamental-nursing-061","護理部主任重視護理作業標準化及適當分工，以使護理師的服務量增加及品質提升，是應用下列何種管理理論？",61,111,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-112-2-fundamental-nursing-025","有關能量轉移方式的原理和運用之敘述，下列何者正確？",25,112,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-113-2-fundamental-nursing-039","直覺學者蓋瑞‧克萊恩（Gary Klein）提到決策的直覺能力要如何培養，下列敘述何者正確？①充實的知識 ②豐富的經驗 ③財富的累積 ④良好溝通能力",39,113,"2026-09-04",1788510706122]