[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-036":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-036","nurse-108-2-psychiatric-community-036",108,2,36,"有關多元與安全醫療照護環境的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"人性化治療性環境的安排，工作人員需先自我覺察，能自尊也尊重別人","人性化治療性環境的考量，病人在入院時不可進行安全檢查","病房的布置應儘量溫馨，但絕對不可放置病人自己的物品","為減輕病人症狀的干擾，不宜讓病人參與環境中的決策","A",null,[],"本題考點為治療性環境與病人安全的原則。依人性化治療性環境的理念,工作人員需先自我覺察,能自尊也尊重他人,才能營造尊重、支持的治療氛圍,故選 A。B 稱入院時不可進行安全檢查錯在為維護病房安全,入院安全檢查(檢查危險物品)是必要程序,與人性化並不衝突。C 稱絕對不可放置病人自己的物品錯在適度保留個人物品有助於安全感與熟悉感,只需排除危險品即可,「絕對不可」過於武斷。D 稱不宜讓病人參與環境決策錯在治療性環境強調病人參與決策以增進自主與治療參與感,排除參與反而不利。判斷關鍵在於治療性環境同時兼顧「尊重自主」與「安全把關」,並以工作人員的自我覺察為基礎。","治療性環境(therapeutic milieu)原則:安全、尊重、結構化、病人參與。工作人員自我覺察(self-awareness)與自尊尊人是營造氛圍的前提。安全與人性化並非對立——入院安全檢查、危險物品管理是底線,但在安全範圍內鼓勵個人化布置與參與決策。絕對化敘述(「絕對不可」「不可」)在治療性環境題中通常為錯。口訣:先覺察自己、安全打底、尊重參與。",[24,27,29,31],{"term":25,"count":26},"治療性環境",7,{"term":28,"count":26},"自我覺察",{"term":30,"count":10},"病房安全",{"term":32,"count":33},"病人參與決策",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-109-1-psychiatric-community-053","護理師執行社區均衡飲食計畫，下列何者為行為目標的效果評價？",53,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-067","依據勞工健康保護規則，規定未滿 40 歲一般作業員至少多久做 1 次健康檢查？",67,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-111-1-psychiatric-community-025","王先生，診斷為廣泛性焦慮症，住院第一天顯得坐立不安、肌肉緊繃。有關此時會談的重點，下列何者最適當？",25,111,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-112-1-psychiatric-community-069","下列何者屬於社區無形資源？①社區意識 ②人力資源 ③文化規範 ④社區凝聚力 ⑤物力資源",69,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-psychiatric-community-003","李小姐，診斷為思覺失調症，主治醫師告知下星期要安排她出院返家，不料她面有難色，靜坐在大廳半小時。下列護理措施何者最適切？",3,113,"2026-09-04",1788510707753]