[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-109-1-產兒科護理學-062","nurse-109-1-maternal-pediatric-062",109,1,62,"小群目前 3 個月大，因膽道閉鎖未治療造成肝臟硬化、脾腫大、肝昏迷，有關提供小群的家屬家庭支持，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"與小群的家屬溝通時，將會談的焦點放在他們關心的事情上","主動多次提及並討論未能於小群出生時及早發現膽道閉鎖的原由","陪伴並鼓勵表達所承受的痛苦，以同理心傾聽家屬的焦慮","言談中流露對小群的真誠關懷，且願意提供訊息與資源","B",null,[],"本題考點在於膽道閉鎖末期病童家庭的治療性溝通原則。依家庭支持與治療性溝通概念，護理焦點應放在家屬當下的關切、陪伴傾聽並提供資源，避免引發不必要的自責。B 主動且多次提及、討論「未能及早發現膽道閉鎖」，會反覆挖掘父母的罪惡感、加重心理負擔，違反支持原則，故為不適當、即答案。A 將會談焦點放在家屬關心的事情上，符合以個案為中心的傾聽。C 陪伴、鼓勵表達痛苦並以同理心傾聽焦慮，是治療性溝通核心。D 流露真誠關懷並提供訊息與資源，體現支持與資訊分享。三者皆適當，唯 B 造成傷害。","治療性溝通要領：同理、傾聽、聚焦當下需求，避免評價與挖舊帳。反覆強調「為何沒早點發現」屬非治療性溝通，會強化父母的內疚與後悔，無助於因應。面對哀傷家庭，護理角色在陪伴與資源連結（如社工、支持團體、安寧照護），而非追究過去。此題誘答點正是把「討論病因由來」誤當成資訊提供。",[24,27,29,31],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":10},"家庭支持原則",{"term":30,"count":10},"避免誘發罪惡感",{"term":32,"count":10},"同理傾聽",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-063","新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",63,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-maternal-pediatric-079","當懷疑個案出現腦膜炎時，醫師常會執行柯林氏徵象（Kernig’s sign）之身體評估，此評估正確做法為何？",79,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-110-2-maternal-pediatric-013","當待產婦有下列何者描述時，可判斷為真陣痛的徵象？",13,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-maternal-pediatric-051","有關兒童遊戲發展的敘述，下列何者錯誤？",51,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-maternal-pediatric-015","有關產後情緒變化之敘述，下列何者正確？①產後沮喪婦女可自行復原 ②產後精神病婦女會出現幻聽、幻覺而傷害新生兒 ③重度產後憂鬱婦女具有自殺危險性 ④產後精神病常出現於產後 2 個月之後",15,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-maternal-pediatric-009","汪女士，生產過程未行會陰切開。胎盤娩出後，檢查發現會陰皮膚及陰道黏膜有撕裂，但未裂至肌肉層。此情況應記錄為會陰部撕裂傷幾度？",9,114,"2026-09-04",1788510713730]