[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":62},"內外科護理學","medical-surgical",{"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":10},"nurse-109-1-內外科護理學-076","nurse-109-1-medical-surgical-076",109,1,76,"乳癌病人接受化學治療效果不佳，病人主訴：「我希望能活到女兒結婚有個依靠，我就可以放心離開，就讓我活到那時候吧！」請問病人是處於 Kubler-Ross 心理反應的那一階段？",{"A":14,"B":15,"C":16,"D":17},"否認期","磋商期","憤怒期","接受期","B",null,[],"本題考點在於 Kübler-Ross 面對死亡的五階段心理反應辨識。病人說「讓我活到女兒結婚就放心離開」，是以交換條件延長生命、與命運討價還價的言語，依 Kübler-Ross 分期屬磋商期（bargaining），選 B。A 否認期表現為不相信、拒絕接受診斷，與情境不符，故錯。C 憤怒期以「為什麼是我」的怨懟投射為特徵，題幹無敵意言語，故錯。D 接受期是情緒平靜、坦然面對死亡，但病人仍在爭取時間、尚未真正接受，故錯。核心是辨識「以條件換取時間」即磋商語言。","Kübler-Ross 五階段：否認（Denial）→ 憤怒（Anger）→ 磋商（Bargaining）→ 憂鬱（Depression）→ 接受（Acceptance）。記憶口訣「否憤商鬱接」。各階段非必然依序、可反覆或跳躍。磋商常帶「只要…就…」的交換句型，對象常是神、醫師或命運，是心理防衛從對抗轉向妥協的過渡。",[24,26,27,29],{"term":25,"count":10},"Kübler-Ross 五階段",{"term":15,"count":10},{"term":28,"count":10},"死亡心理反應",{"term":30,"count":10},"防衛機轉",[32,36,41,46,51,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-109-1-medical-surgical-077","乳癌病人手術後的病理報告：乳房惡性腫瘤為 3 公分，腋下有 2 顆淋巴結轉移。依癌症 TNM 分期，下列何者正確？",77,{"webId":37,"stem":38,"number":39,"year":40,"session":10},"nurse-110-1-medical-surgical-013","有關食道弛緩不能（Esophageal achalasia）的敘述，下列何者正確？",13,110,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-110-2-medical-surgical-027","有關高血壓病人服用 Propranolol（Inderal）的護理指導，下列何者正確？①需確認病人有無氣喘 ②服藥前宜先檢查心跳次數 ③副作用有低血鈉 ④副作用會造成脫水",27,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-111-2-medical-surgical-065","有關腎臟癌治療和照護的敘述，下列何者錯誤？",65,111,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-112-3-medical-surgical-029","病人因住宅火警遭燒傷，身體後背部、右後上肢、左後上肢及左右臀部燒傷，以蘭德—布諾得（Lund & Browder）方法計算燒傷範圍，下列何者正確？",29,112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-medical-surgical-023","中樞神經系統癌症病人，若選用難以通過血腦障壁之化學治療時，下列何者為最適切之給藥途徑？ ①Port-A   ②Ommaya reservoir   ③Hickman catheter   ④intrathecal injection",23,114,"2026-09-04",1788510712997]