[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":62},"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-010","nurse-108-2-psychiatric-community-010",108,2,10,"王先生，國立大學法律系畢業，住院第三天，診斷為雙相情緒障礙症，正處於躁期，擔心自己吃藥後可能產生副作用，要求借閱藥品手冊以了解自己所服藥物的合理劑量，護理師查閱病歷，確認病人的藥物劑量在合理的成人劑量範圍，護理師的回應下列何者最適合？",{"A":14,"B":15,"C":16,"D":17},"借給病人藥品手冊，但是撕掉病人所服藥物所在頁數","評估王先生對服藥的反應及想法，並說明藥物的主要作用","告訴王先生應該相信醫師，這是合宜的的劑量","告訴王先生藥品手冊只能工作人員使用","B",null,[],"本題考點為病人用藥知情權與治療性溝通的處理原則。依病人自主與衛教原則，面對躁期病人對藥物副作用的疑慮，應評估其對服藥的反應與想法、並說明藥物主要作用，以建立信任與治療合作，故 B 正確。A 錯：撕掉頁數屬欺瞞、破壞信任且不尊重知情權。C 錯：「應該相信醫師」是命令式回應，未處理病人疑慮、亦剝奪參與。D 錯：以「手冊只給工作人員」搪塞屬拒絕溝通、無助建立關係，故正解為 B。","治療性溝通強調傾聽、澄清與提供正確資訊，而非壓制或欺瞞。病人有知情權（right to be informed），提供藥物資訊反能增進病識感與服藥遵從性。躁期病人雖思緒飛躍，但其對副作用的擔憂是真實需求，護理師以評估想法＋衛教主作用回應，既尊重自主又維持安全。記憶法：反治療性溝通四類「命令、搪塞、欺瞞、否定感受」全屬扣分選項，最佳答案通常是「先評估、再提供正確資訊」。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"病識感",11,{"term":31,"count":32},"病人知情權",1,{"term":34,"count":32},"服藥衛教",[36,39,44,48,53,58],{"webId":37,"stem":38,"number":29,"year":9,"session":10},"nurse-108-2-psychiatric-community-011","參與團體治療後，病人分享：「團體中別人給我的回饋幫助我了解到，如何表達自我感受，才不會造成不好的後果」，這表示團體治療對此病人最能達到下列何種治療因子？",{"webId":40,"stem":41,"number":42,"year":43,"session":32},"nurse-109-1-psychiatric-community-027","對身體症狀及相關障礙症（Somatic Symptom and Related Disorder）的病人提供照護時，下列敘述何者較適切？",27,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-041","有關政府對偏鄉醫療照護提供之措施，下列何者正確？",41,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-079","王老先生向社區護理師主訴他最近常提不起精神、感覺無力、不想出門、體重也減輕，下列護理師的處置何者最不適當？",79,110,{"webId":54,"stem":55,"number":56,"year":57,"session":32},"nurse-112-1-psychiatric-community-043","不同的研究團隊進行抽菸與肺癌關係的研究，結果皆發現抽菸與肺癌發生有顯著的關係，因此推論抽菸可能是導致肺癌的危險因子，這是依據下列何項條件所判定的因果關係？",43,112,{"webId":59,"stem":60,"number":42,"year":61,"session":32},"nurse-113-1-psychiatric-community-027","衛生福利部國民健康署成立青少年好漾館與WHO之SDGs中，那一個議題最為相關？",113,"2026-09-04",1788510707556]