[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-052","nurse-108-2-psychiatric-community-052",108,2,52,"社區衛生護理師家訪印尼籍新移民王太太，發現她左臉及手腳有多處新舊不同之瘀青，主訴自己從樓梯處跌落，下列處置何者最適切？",{"A":14,"B":15,"C":16,"D":17},"建議就醫檢驗是否有血小板凝血功能問題","加強居家安全，樓梯加扶手及照明","趕快陪同去急診驗傷備案","與個案會談評估可能原因","D",null,[],"本題考點在於家庭暴力疑似個案的護理處置優先次序與尊重自主原則。個案身上有多處新舊不一的瘀青、主訴與傷勢不符,屬家暴警訊,依助人關係與評估先行原則,應先與個案建立信任、會談評估可能原因,釐清真實情形後再決定後續,故選 D。A 逕自導向凝血功能檢查,忽略家暴可能而誤判方向。B 直接加強居家安全,是在原因未明前就跳到處置,且落入接受其跌倒說詞。C 未經評估與個案同意即強行陪同驗傷報案,違反尊重自主並可能破壞信任、增加風險。","家暴評估的護理步驟:先建立安全、隱私的會談情境→傾聽與評估(受暴史、危險程度)→尊重個案意願與自決→提供資源與通報(依法113\u002F責任通報)。關鍵原則:未先評估與取得信任前,勿妄下醫療判斷或強制行動。護理過程本就「評估在先、處置在後」,本題四選項中唯有D停在評估階段。新舊不一瘀青、傷勢與說詞矛盾是家暴的典型indicator。",[24,27,29,31],{"term":25,"count":26},"家庭暴力評估",1,{"term":28,"count":26},"護理過程評估先行",{"term":30,"count":26},"尊重自主",{"term":32,"count":26},"新舊瘀青警訊",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-053","對於青少女懷孕，下列何者屬三段五級的第三級預防之措施？",53,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-psychiatric-community-069","社區護理師為提升懷孕新住民的健康識能（health literacy），下列何者較不適當？",69,109,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-110-1-psychiatric-community-003","黃先生，55 歲，被診斷為思覺失調症，與案母同住，服藥不規則，須由案母提醒他吃藥。一個月前，案母因病過世，黃先生認為鄰居透過社區的 LINE 群組說他的壞話，因此作勢要攻擊鄰居。黃先生最可能有以下何種症狀？",3,110,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-111-1-psychiatric-community-041","有關健康融入所有政策（health in all policies）的概念，下列敘述何者正確？",41,111,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-2-psychiatric-community-005","有關抗精神病藥物的敘述，下列何者正確？",5,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-psychiatric-community-019","有關行為治療應用的情境，下列何者最適切？",19,113,"2026-09-04",1788510707873]