[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-079","nurse-108-2-fundamental-nursing-079",108,2,79,"有關醫療糾紛處理後的省思與預防，下列何者較為適當？①徹底檢討追究事故當事者之疏失 ②給予事故當事者關懷，協助走出傷痛 ③ 加強在職教育，提升照護品質 ④為防事故再發生，所有醫囑均須請醫師說明",{"A":15,"B":16,"C":17,"D":18},"①②","①③","②③","②④","C",null,[],"本題考點是醫療糾紛後的省思與預防原則，屬複選組合題。依病人安全的系統觀與支持性文化，正確作為是②給予當事者關懷、協助走出傷痛（照顧第二受害者）與③加強在職教育、提升照護品質（系統性改善），故選 C（②③）。①「徹底檢討追究事故當事者之疏失」屬究責導向，與非懲罰、找系統漏洞的精神相悖；④「所有醫囑均須請醫師說明」為因噎廢食、不切實際的過度反應，無法有效預防且癱瘓流程。考點在於辨識支持當事人與系統改善才是妥適方向，而非究責或矯枉過正。","現代病人安全強調「第二受害者」（second victim）概念——涉入不良事件的醫護本身也承受心理創傷，需被關懷支持而非究責，否則將加劇隱匿與離職。預防應走系統途徑（教育訓練、流程改善、根本原因分析），而非針對個人追殺或訂出癱瘓運作的過度規範。記憶對比：對『人』要關懷（②）、對『系統』要改善（③）；追殺個人（①）與矯枉過正（④）都是錯的方向。可連結 Just Culture（公正文化）——區分人為失誤、冒險行為與魯莽行為，給予不同回應。",[25,28,30,33],{"term":26,"count":27},"非懲罰性文化",3,{"term":29,"count":11},"醫療糾紛處理",{"term":31,"count":32},"第二受害者",1,{"term":34,"count":32},"系統性品質改善",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-080","為降低某病房之多重抗藥性微生物（multiple drug resistant organism, MDRO）之發生率，所擬改善對策之一是每位接觸病人之工作人員均需正確洗手，下列何種品管工具對達到成效最有助益？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-109-2-fundamental-nursing-016","下列護理評估，何者屬於客觀資料（objective data）？",16,109,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-110-1-fundamental-nursing-030","溫水拭浴是同時運用下列那二種能量轉移方式，而達到降溫效果？①輻射 ②蒸發 ③傳導 ④對流",30,110,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-111-1-fundamental-nursing-068","當醫院發生緊急事件時，為講求時效，需採行下列何種組織結構型態較適宜？",68,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-112-2-fundamental-nursing-032","有關便秘的護理措施，下列何者正確？",32,112,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-113-2-fundamental-nursing-046","有關資訊安全，下列敘述何者正確？",46,113,"2026-09-04",1788510706176]