[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-014","nurse-109-1-psychiatric-community-014",109,1,14,"蕭太太，74 歲，診斷為失智症，請問下列護理何者適當？",{"A":14,"B":15,"C":16,"D":17},"為了促進照顧者與病人的關係，所以照顧者不可稱呼病人的名字，而必須稱病人為蕭奶奶","病人單位最好不要擺設其家人相片，以免讓病人觸景傷情而影響病情","為了增加蕭太太的安全感及熟悉度，每天安排固定的照護人員","將病室的窗簾拉起來以避免日落症候群","C",null,[],"本題考點在於失智症病人的照護原則。依失智照護強調的熟悉感與規律性,固定的照護人員與環境能降低混亂焦慮、增加安全感,故選C。A錯,尊重病人應依其習慣稱謂,強制只能稱「蕭奶奶」缺乏個別化,非增進關係的必要規定。B錯,擺放家人相片有助懷舊治療與現實定向,提供熟悉線索與安全感,並非會傷情而須移除。D錯,日落症候群處置應保持環境明亮、白天充足光照以穩定日夜節律,拉窗簾使光線昏暗反加重黃昏混亂。唯C符合熟悉、規律、安全的照護核心。","失智照護三原則:熟悉化、簡單化、常規化。固定人員與作息、懷舊物品、充足採光可減少定向障礙與焦躁。日落症候群指黃昏後混亂躁動加劇,對策為增加白天光照活動、傍晚保持照明、避免過度刺激。記憶:失智怕「變」——人、事、時、地越固定越安;昏暗易亂,故日落症候群要「亮」不要暗。",[24,27,30,32],{"term":25,"count":26},"日落症候群",7,{"term":28,"count":29},"失智症照護",4,{"term":31,"count":10},"現實定向",{"term":33,"count":10},"常規化照護",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-015","護理師在照顧精神病人時，應有正確認識，下列何者最為適當？",15,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-psychiatric-community-031","李同學 10 歲，是智能不足的兒童，因為在學校常與同學發生衝突並出手打壞同學眼鏡，學校護理師對於其暴力行為擬定行為修正約定：如果 1 天都未出現任何肢體攻擊，下列處置何者最適當？",31,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-psychiatric-community-045","有關結核病防治工作敘述，下列何者錯誤？",45,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-psychiatric-community-003","身為專業的精神衛生護理人員，對精神科病人應有的認識，下列敘述何者正確？①病人怪異的想法和行為，都是有目的、有意義的，且為滿足某個需要或溝通某種訊息而呈現出來 ②精神病人的導因，並非來自單一的病因，而是基因、生活、心理、社會，相互影響的結果 ③精神病人多半缺乏自信，無安全感、挫折忍受度或抗壓性低 ④一旦診斷為重度精神疾患，就難以治癒，故不需太多關注於病人的病態思想、情緒和行為，只需維持病人的基本生理照護即可",3,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-psychiatric-community-047","依據三段五級預防模式，下列何者屬於 COVID-19 防治之特殊保護措施？①利用快篩發現個案 ②實施疫苗注射 ③確診者早期接受治療 ④戴口罩 ⑤患者出院後追蹤管理",47,112,{"webId":60,"stem":61,"number":62,"year":63,"session":52},"nurse-113-3-psychiatric-community-011","有關妄想症狀的護理措施，下列敘述何者最適切？",11,113,"2026-09-04",1788510714057]