[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"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-108-2-精神科與社區衛生護理學-004","nurse-108-2-psychiatric-community-004",108,2,4,"一位剛入院的精神病人林先生，情緒焦躁，因想打電話通知家人辦理出院，跑到護理站前要求出院，對工作人員大聲謾罵，並企圖攻擊護理師，面對該情緒失控的病人，下列何項措施較適切？",{"A":14,"B":15,"C":16,"D":17},"「你的行為已經干擾到大家，若你不能控制自己的行為，我們只好把你綁起來」","「你看起來很生氣，我們可以談一談嗎？若你仍然無法控制自己的情緒，我們暫時需用約束的方式協助你」","不用告訴林先生要約束他，以免使他更生氣激躁，聯絡其他可以協助的工作人員，直接將林先生約束","「你已經嚴重違反病房住院規定，你再這樣無法自我控制，會更延長住院的天數」","B",null,[],"本題考點為情緒失控具攻擊風險病人的治療性溝通與約束的階段性原則。依危機處理，應先以同理反映情緒、給予口語表達機會，並事先告知若無法自控將暫時採約束，兼顧治療關係與安全，故 B 正確。A 錯：以「綁起來」威脅屬懲罰性語氣，會激化對立。C 錯：不告知即直接約束剝奪病人知情與自我控制機會，非最適切且違反約束告知原則。D 錯：以延長住院天數威脅同屬懲罰語氣、無助情緒緩解，故正解為 B。","面對躁動攻擊病人的介入層級（least restrictive 原則）由輕到重：口語安撫與設限→提供選擇→藥物協助→最後才身體約束。約束前應告知理由、屬臨時保護而非懲罰，並持續評估生命徵象與循環。B 同時包含「同理（你看起來很生氣）＋設限（暫時需約束）＋尊重（可以談一談嗎）」，符合治療性溝通。記憶法：「先同理、再設限、後約束，約束是保護不是懲罰」。威脅、恐嚇語氣皆為反治療性溝通。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"最少限制原則",7,{"term":31,"count":32},"約束前告知",1,{"term":34,"count":32},"情緒設限",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-psychiatric-community-005","護理師跟王小姐討論導致她憂鬱的主要生活壓力源，及遇到壓力時，王小姐常會立即出現責備自己的壓力反應。上述通常是出現於治療性人際關係的那個期別？",5,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-psychiatric-community-021","蔡女士，因憂鬱症有不想活的念頭而住院治療，某日在病房中將自己心愛的首飾分送給病友，站在窗前凝視，告訴護理師生命有如輕煙，此時護理師優先提供的護理處置，下列何者正確？①敏銳觀察自殺徵兆 ②鼓勵表達自我感受 ③安排人少的房間 ④鼓勵參與活動",21,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-psychiatric-community-035","林護理師為協助病人返家居住，進行家庭評估與提供服務的內容，下列措施何者最適當？",35,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-2-psychiatric-community-073","有關聯合國對於人口老化的敘述，下列何者最不適當？",73,110,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-psychiatric-community-037","有關隔離與約束的醫囑，不包含下列何者？",37,112,{"webId":60,"stem":61,"number":43,"year":62,"session":32},"nurse-113-1-psychiatric-community-021","孫先生於精神科病房出院後，規則服藥，病情穩定，但面臨經濟困境及就業需求。護理師為協助其發展經濟及就業，必須具有下列何項實務能力？",113,"2026-09-04",1788510707505]