[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-018":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-018","nurse-109-1-psychiatric-community-018",109,1,18,"對於急性期發作的躁症病人，首要的護理措施為何？",{"A":14,"B":15,"C":16,"D":17},"確認病人得到充分的營養與休息","規定病人要按照病房規定的作息活動","建立病人的正向自我概念與信心","禁止與其他病友互動以免加重病情","A",null,[],"本題考點在於急性躁症病人的首要護理措施(優先順序)。急性躁症病人因過度活動、精力旺盛而常忽略進食與睡眠,依馬斯洛需求層次,生理需求優先於心理社會需求,故確保病人獲得充分營養與休息為首要,以免體能耗竭甚至衰竭,故選A。B「按病房規定作息活動」屬結構化管理,重要但非最優先,且躁症急性期難以立即遵守規範。C「建立正向自我概念與信心」屬較高層次的心理需求,應在生理穩定後才進行。D「禁止與病友互動」不當,適度限制過度刺激可以,但全面禁止互動並非首要且不符治療原則。依生理優先原則,唯A為首要護理措施。","躁症急性期最大生理風險是活動過度導致的耗竭、脫水、營養與睡眠不足,嚴重可致衰竭。依馬斯洛層級,生理與安全需求先於自尊與自我實現,故護理優先序:生命\u002F生理→安全→心理社會。記憶:急性躁症先顧「吃、睡、體力」,自我概念等生理穩了再談。看到「首要\u002F優先」先想馬斯洛最底層。",[24,27,30,32],{"term":25,"count":26},"馬斯洛需求層次",10,{"term":28,"count":29},"生理需求優先",2,{"term":31,"count":10},"急性躁症",{"term":33,"count":10},"體能耗竭",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-019","當精神病人出現暴力或自傷行為時，為了保護病人的安全而予約束，約束病人時需注意的事項，下列何者正確？①疏散圍觀病友 ②為了安全先予約束再由醫師開醫囑 ③出現攻擊行為時勿單獨處理 ④依醫囑帶病人入保護室並上鎖、打開監視器",19,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-035","林護理師為協助病人返家居住，進行家庭評估與提供服務的內容，下列措施何者最適當？",35,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-049","以本國居民及移居海外之華僑進行鼻咽癌比較研究，較可能找出何種因子的影響？",49,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-psychiatric-community-007","有關 Benzodiazepine(BZD)類藥物，下列注意事項敘述何者最適當？",7,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-psychiatric-community-051","有關社區健康評估方法之敘述，下列何者較不適當？",51,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-psychiatric-community-015","畏避型人格障礙症（avoidant personality disorder）臨床特徵的敘述，下列何者最適切？",15,113,3,"2026-09-04",1788510714108]