[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-026":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-026","nurse-108-2-psychiatric-community-026",108,2,26,"朱小姐，一位住院的精神病人，22 歲，護生實習照顧她已三週，護理師觀察到朱小姐與護生互動良好，且都能在護生陪同下配合病房活動，但每天約下午 3 點多護生與護理師交班時，朱小姐會出現焦慮，害怕的情形，而頻頻要求入保護室，請問下列那一項可列入照護計畫中？",{"A":14,"B":15,"C":16,"D":17},"以時間軸引導個案討論症狀發生的可能原因","與個案訂定行為契約，以減少使用保護室的次數","建議醫師調整藥物","每次症狀出現時，即帶個案回病室","A",null,[],"本題考點為症狀的情境分析與照護計畫擬定。依行為評估原則,個案固定在下午三點多護生與護理師交班時出現焦慮並要求入保護室,顯示症狀與「分離情境」有規律連結,護理計畫應以時間軸引導個案探討症狀發生的可能原因,協助其覺察與分離焦慮的關聯,故選 A。B 訂定行為契約以減少使用保護室錯在尚未釐清原因就限制行為,治標不治本且忽略情緒需求。C 建議醫師調整藥物錯在此為情境性焦慮反應,非首先考慮藥物,亦跳過護理評估。D 每次症狀出現即帶回病室錯在僅處理表面行為,未探究焦慮根源。判斷關鍵在於先透過時間軸分析釐清症狀與情境的因果,才能對症照護。","行為分析(ABC 模式:前事 Antecedent-行為 Behavior-後果 Consequence):症狀規律出現於特定時點,提示存在觸發情境。本例交班=照顧者離開,喚起分離焦慮。護理先評估(時間軸探因)再介入,才符合護理過程「評估先於處置」。行為契約、限制、藥物皆屬未評估先處置。口訣:先問為什麼,再談怎麼辦。時間軸探因是連結症狀與情境的關鍵技巧。",[24,27,29,31],{"term":25,"count":26},"行為分析",1,{"term":28,"count":26},"分離焦慮",{"term":30,"count":26},"護理過程評估",{"term":32,"count":26},"情境觸發",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-027","醫院病房的陌生環境，易使個案產生不安的情緒，在此狀況下，改善個案對住院環境不安的措施，下列何者最適切？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-psychiatric-community-043","社區護理師在遊民集散地的公共廁所，設置免費保險套裝置是何種預防層級？",43,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-psychiatric-community-057","有關食品安全衛生管理法規定，食品及食品原料之容器或外包裝，何者不需要強制性標示？",57,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-psychiatric-community-015","根據 DSM-5 診斷準則，經期前情緒低落症（Premenstrual Dysphoric Disorder）的症狀，下列何者最不適當？",15,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-psychiatric-community-059","社區護理師家訪時發現：陳先生 55 歲，3 個月前中風，左半邊肢體較無力，復健後行走不需用拐杖；擔心再次中風會坐輪椅或需人照顧。根據健康信念模式，是符合下列何項評估要素？",59,112,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-113-1-psychiatric-community-043","社區護理師製作「遊民的一日」影片於媒體播放，以提升大眾對弱勢群體健康的認知，是屬於何種角色的展現？",113,"2026-09-04",1788510707686]