[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-006","nurse-109-1-psychiatric-community-006",109,1,6,"王小姐，診斷思覺失調症，護理師發現王小姐眼神怪異，表情緊張。於是問王小姐是不是在獨處時會聽到有人對她說話。請問這是屬於整體性護理評估的那一種層面？",{"A":14,"B":15,"C":16,"D":17},"情緒層面","智能層面","靈性層面","社交層面","B",null,[],"本題考點在於整體性護理評估(holistic assessment)各層面的歸類。護理師詢問病人「獨處時是否聽到有人說話」,目的在評估是否有幻聽——幻聽屬知覺與思考等心智功能異常,依整體評估架構歸於智能(認知\u002F心智)層面,故選B。A情緒層面評估的是情感表現、心情起伏、焦慮憂鬱等感受狀態。C靈性層面關注生命意義、信仰與價值。D社交層面評估人際互動、支持系統與角色功能。詢問幻聽是探測感官知覺與現實感的認知功能,屬智能層面,其餘三者評估對象皆非知覺症狀,故選B。","整體性護理常以生理、情緒、智能(認知)、社交、靈性等層面全人評估。幻聽(auditory hallucination)是知覺障礙,與思考、定向、記憶同屬智能層面。易混淆點:同一病人表情緊張屬情緒層面,但「問幻聽」這個動作本身評的是知覺\u002F認知。對比記憶:問心情=情緒、問幻覺妄想=智能、問信仰意義=靈性、問人際=社交。",[24,27,29,30],{"term":25,"count":26},"全人照護",3,{"term":28,"count":10},"整體性護理評估",{"term":15,"count":10},{"term":31,"count":10},"幻聽知覺障礙",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-psychiatric-community-007","統整是老人的發展任務，老年人在做生命回顧時，發現時光飛逝，浪費光陰，因而感到懊悔，出現焦慮不安。此為下列那位學者所提出之理論？",7,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-psychiatric-community-023","楊女士 25 歲，半個月以來情緒高昂，不斷參加社交活動，一直找人講話，但話題常跳躍，若別人聽不懂，就生氣罵人，晚上不睡覺，半夜外出，家人擔心安危，故入院治療。下列何者最可能為楊女士的症狀？",23,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-psychiatric-community-037","提供穩定之慢性思覺失調症病人至社區復健中心持續接受照護，是屬於下列何項預防概念？",37,110,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-1-psychiatric-community-075","長期照顧十年計畫 2.0 採用 ABC 三級服務，其主要目的為何？",75,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-psychiatric-community-039","王先生，診斷為思覺失調症，使用抗精神病藥物 clozapine（Clozaril ® ），用藥前體重、血壓及空腹血糖在正常範圍，第 8 週時體重上升 10%，第 12 週時血糖驗出 130 mg\u002FdL，目前精神症狀及認知功能明顯改善，且已回到職場。下列敘述何者最適切？",39,112,{"webId":58,"stem":59,"number":26,"year":60,"session":26},"nurse-113-3-psychiatric-community-003","王先生罹患慢性思覺失調症，精神症狀穩定，但局部功能退化，具有復健潛能，需積極復健治療，下列安排何者最適合？",113,"2026-09-04",1788510713968]