[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-016","nurse-108-2-psychiatric-community-016",108,2,16,"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？",{"A":14,"B":15,"C":16,"D":17},"積極治療精神症狀","改善日常生活功能","增進人際互動技巧","改善急性精神症狀","B",null,[],"本題考點為精神復健的目標排序。依復健護理由基礎往上建構的原則,個案自笑自語、衣有異味、環境凌亂、少互動,顯示自我照顧與日常生活功能明顯退化,精神復健的優先目標應先從改善日常生活功能著手,故選 B。A 積極治療精神症狀與 D 改善急性精神症狀錯在該個案已在復健病房,屬穩定期而非急性期,復健重點不是壓制急性症狀。C 增進人際互動技巧錯在人際互動屬較高層次目標,須先建立基本生活自理能力後再進階,順序在後。判斷關鍵在於復健目標由低階生活功能往高階社會功能逐層推進,基本自我照顧優先。","精神復健階層:先求生活自理(ADL、衛生、環境整理)→再進社交技巧→最後職能與社區回歸,呼應馬斯洛需求層次由基礎往上。急性期治症狀、穩定期重復健是分期照護的分野。個案處復健病房=穩定\u002F慢性期,故不選急性症狀處理。口訣:復健先顧生活,再談互動與工作。負性症狀(退縮、自我照顧退化)正是慢性思覺失調症復健的核心挑戰。",[24,27,30,32],{"term":25,"count":26},"精神復健",15,{"term":28,"count":29},"馬斯洛需求層次",10,{"term":31,"count":10},"日常生活功能",{"term":33,"count":10},"分期照護",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-017","林小姐，診斷為鬱症，入院後多躺床，進食量少，入院第一週，體重已由 60 公斤降至 58 公斤，下列護理措施何者最適宜？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-109-1-psychiatric-community-033","下列對於自閉症類群障礙症（Autism Spectrum Disorder）的敘述，何者錯誤？",33,109,1,{"webId":46,"stem":47,"number":48,"year":43,"session":10},"nurse-109-2-psychiatric-community-047","有關社區增能（empower）的描述，下列敘述何者錯誤？",47,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-111-1-psychiatric-community-005","有關譫妄（delirium）的敘述，下列何者錯誤？",5,111,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-112-1-psychiatric-community-049","某研究欲探討過去 5 年暴露於空氣污染的環境與肺癌之關係，收集 1,000 位肺癌及 1,000 位無肺癌個案進行分析，這是屬於下列何種研究方法？",49,112,{"webId":60,"stem":61,"number":42,"year":62,"session":44},"nurse-113-1-psychiatric-community-033","有關社區夥伴關係（community partnership）強調的原則，下列何者最不適當？",113,"2026-09-04",1788510707597]