[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-019","nurse-109-1-psychiatric-community-019",109,1,19,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於病人約束(restraint)的安全原則。依約束照護規範,正確措施包含①疏散圍觀病友以維護隱私與安全、③出現攻擊行為時勿單獨處理應團隊協力、④依醫囑帶入保護室並上鎖、打開監視器以持續觀察,三者皆正確,故選①③④的C。②「為安全先予約束再由醫師補開醫囑」錯,約束屬限制人身自由的處置,原則上須先有醫師醫囑;僅在緊急危及安全時可先執行、但須立即(通常一小時內)取得醫囑,題目敘述將「先約束再開醫囑」當常規並不正確。A、B、D均含②這個違反醫囑先行原則的錯項,唯C完全避開,故為正解。","約束是限制自由的高風險處置,原則:須有醫囑、明訂時限、定期評估解除、持續監測循環與皮膚、維護隱私與尊嚴、團隊執行不單獨行動。緊急先行僅屬例外且須即刻補醫囑並記錄。記憶:約束四要=有醫囑、護隱私、勿單獨、勤觀察;把「先綁再說」當常規即為陷阱。",[24,27,30,32],{"term":25,"count":26},"病人安全",3,{"term":28,"count":29},"約束照護規範",2,{"term":31,"count":10},"醫囑先行原則",{"term":33,"count":10},"暴力自傷處置",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-020","周先生罹患思覺失調症多年，常因自行中斷服藥而導致發病重複住院，護理師給予的藥物護理指導，下列何者正確？①幫病人備好藥物 ②提供家人完整的衛教 ③確定病人知道自己所做的治療 ④建議病人記下用藥後之感受",20,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-036","王小姐 30 歲，診斷思覺失調症，參與社區俱樂部的活動，透過工作人員的協助，了解自己的問題、激發自己想改變行為的動機，並享有自決的能力，下列何者為王小姐主要採用的復元模式？",36,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-050","有關社區資源的敘述，下列何者正確？①無形資源－人力 ②有形資源－財力 ③有形資源－社區凝聚力 ④有形資源－物力 ⑤無形資源－社區意識",50,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-psychiatric-community-008","羅小姐，30 歲，診斷為雙相情緒障礙症，居家護理師至其家中訪視，發現可能是躁症發作。下列何者為其最可能出現的症狀？",8,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-psychiatric-community-052","Anderson 與 McFarlane（2019）社區夥伴評估模式具有下列那些特徵？①專業主導 ②與社區平等互惠 ③由下而上匯集民眾需求 ④需與政策配合 ⑤喚起社區意識",52,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-psychiatric-community-016","有關身體症狀障礙症（somatic symptom disorder）的敘述，下列何者較不適切？",16,113,"2026-09-04",1788510714123]