[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-015","nurse-108-2-psychiatric-community-015",108,2,15,"護理師執行給藥時，發現病人取藥後未服下並轉身離開。下列何項是此時最適當的護理措施？",{"A":14,"B":15,"C":16,"D":17},"通知醫師將藥物改為針劑","協助磨粉以確實服藥","提供精神疾病之衛教","要確認病人確實服下藥物","D",null,[],"本題考點為精神科給藥的安全確認。依給藥安全原則與精神科病人易藏藥、囤藥企圖(可能累積以自傷)的特性,護理師發現病人取藥後未服下即離開時,首要責任是確認病人確實服下藥物,故選 D。A 通知醫師改針劑錯在跳過即時確認、直接升級侵入性處置,不符當下最適當的初步措施。B 協助磨粉錯在磨粉需醫囑且未確認病人是否真有吞嚥困難,亦非此情境重點。C 提供衛教錯在時機不對,病人尚未服藥就先衛教無法解決眼前的服藥確認問題。判斷關鍵在於給藥的「看服到口」原則,確保藥物確實進入體內是最優先的安全把關。","精神科給藥安全:因囤藥自傷與病識感不足風險,採「看藥入口、確認吞下(check mouth)」原則。步驟優先序:先確認當次是否服下(D),再視情況評估拒藥原因、衛教、必要時才回報醫師調整劑型。給藥五對之外,精神科多一道「確實服下」的把關。改針劑或磨粉皆屬後續處置,需醫囑且非第一步。",[24,27,29,31],{"term":25,"count":26},"給藥安全",1,{"term":28,"count":26},"囤藥風險",{"term":30,"count":26},"看服到口原則",{"term":32,"count":26},"精神科用藥",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-016","林小姐，診斷為思覺失調症，目前於精神復健病房住院，偶有自笑自語，衣服常有異味，病床單位凌亂，常躺床少與人互動。有關林小姐目前的精神復健目標，下列何項優先？",16,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-psychiatric-community-032","在幼稚園的楊小弟，被老師反應上課時容易分心、注意力不集中、無法乖乖坐好、話多、容易干擾同學聽講，丟三落四、多半無法完成老師的指令，家長表示在家裡也有類似的行為，護理師覺得楊小弟最可能出現的問題是？",32,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-psychiatric-community-046","長期照顧十年計畫 2.0 中預防失能的服務，包括下列那些項目？①口腔保健 ②認知促進 ③膳食營養 ④職業訓練",46,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-psychiatric-community-004","關於精神衛生護理工作範圍，居家護理師於病人出院後，協助強化其社交技巧，此項照護較屬於下列何者？",4,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-psychiatric-community-048","下列那一階段的疾病自然史，最能透過篩檢早期發現身體病理變化？",48,112,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-113-1-psychiatric-community-032","社區護理師完成社區健康診斷之後，想瞭解社區對問題的瞭解與解決問題的動機，下列何種方式最適合？",113,"2026-09-04",1788510707594]