[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-109-1-精神科與社區衛生護理學-003","nurse-109-1-psychiatric-community-003",109,1,3,"對於急性期症狀穩定，將出院的精神病人，其出院護理計畫的內容，包括下列何者為宜？①教導壓力調適策略 ②建議可依症狀自行調藥 ③提供健康指導與諮詢 ④討論緩解藥物副作用的方法",{"A":14,"B":15,"C":16,"D":17},"①②③","①③④","①②④","②③④","B",null,[],"本題考點在於精神病人出院準備服務的內涵,關鍵是自我照顧與復發預防能力的培養。依復元(recovery)導向護理原則,出院計畫應涵蓋①教導壓力調適以降低復發誘因、③提供健康指導與諮詢以延續照護、④討論緩解藥物副作用方法以提升服藥順從性,三者皆屬正確,故選①③④的B。②「建議可依症狀自行調藥」錯在違反用藥安全,精神科藥物須依醫囑調整,病人自行加減量易導致復發或中毒,是本題唯一明顯錯誤項。A、C、D均含②這個危險錯誤選項,凡納入自行調藥者一律排除,只有B完全避開,故為正解。","出院準備服務(discharge planning)核心是「連續性照護」與「賦能」。精神科復發最大主因即自行停藥或亂調藥,故衛教一律強調「藥物調整須經醫師」。可對比:壓力調適屬初級預防復發、副作用因應屬提升順從性、健康諮詢屬延續照護,三者環環相扣。記憶法:凡選項出現「自行調藥\u002F自行停藥」在精神科幾乎必為錯誤陷阱。",[24,27,30,33,35],{"term":25,"count":26},"出院準備服務",12,{"term":28,"count":29},"服藥順從性",5,{"term":31,"count":32},"復發預防",2,{"term":34,"count":10},"復元導向護理",{"term":36,"count":10},"用藥安全",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-1-psychiatric-community-004","護理師在精神科病房帶領團體治療，鼓勵病人與他人分享生病感受，並在團體中表示感謝其他病人對他的包容、接納與信任，此活動運用下列何項精神護理概念模式？",4,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-109-2-psychiatric-community-020","許太太入院第 1 天時，懷疑飯菜被下毒，拒絕進食，護理師已告知個案飯菜未被下毒，但個案仍不願進食，請問下列護理措施何項最適合？",20,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-1-psychiatric-community-034","有關社區精神心理衛生護理的敘述，下列何者正確？",34,110,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-psychiatric-community-072","有關喘息服務之敘述，下列何者最不適當？",72,111,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-112-2-psychiatric-community-036","有關災難護理的敘述，下列何者最不適切？",36,112,{"webId":62,"stem":63,"number":64,"year":65,"session":32},"nurse-113-2-psychiatric-community-050","社區護理師進行居家訪視為張先生測量血壓，血壓值為 190\u002F98 mmHg，張先生表示頭痛、視力模糊，下列護理處置何者最適當？",50,113,"2026-09-04",1788510713941]