[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-020","nurse-109-1-psychiatric-community-020",109,1,20,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點在於促進思覺失調症病人服藥順從性的藥物護理指導。病人因自行中斷服藥而反覆發病,依賦能與自我管理原則,正確指導為②提供家人完整衛教以建立家庭監督、③確定病人了解自己的治療以增進病識感、④記下用藥後感受以利自我覺察,三者皆正確,故選②③④的D。①「幫病人備好藥物」錯,長期應培養「自我用藥」能力以維持社區生活的獨立性,代為備藥反使其依賴、難建立自主服藥習慣。A、B、C均含①這個養成依賴的錯項,唯D完全避開,以家庭支持、病識感與自我監測促進順從,故為正解。","服藥順從性是思覺失調症復發預防的關鍵。促進策略:建立病識感、家庭衛教支持、自我用藥訓練、記錄用藥反應、簡化療程、必要時長效針劑。核心是「賦能自主」而非「代勞依賴」。記憶:凡選項讓病人變被動依賴(代備藥、代管藥)在復健脈絡多為錯;培養自我管理才是目標。",[24,27,30,32],{"term":25,"count":26},"病識感",11,{"term":28,"count":29},"服藥順從性",5,{"term":31,"count":10},"自我用藥訓練",{"term":33,"count":10},"家庭衛教支持",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-021","蔡女士，因憂鬱症有不想活的念頭而住院治療，某日在病房中將自己心愛的首飾分送給病友，站在窗前凝視，告訴護理師生命有如輕煙，此時護理師優先提供的護理處置，下列何者正確？①敏銳觀察自殺徵兆 ②鼓勵表達自我感受 ③安排人少的房間 ④鼓勵參與活動",21,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-psychiatric-community-037","張先生住院，因為暴力攻擊事件已進行約束 2 小時，醫療團隊共同討論是否應解除其約束，關於解除約束的評估，下列何項最適切？",37,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-psychiatric-community-051","社區護理師排定社區健康問題的順序時，下列何者應優先處理？",51,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-psychiatric-community-009","有關病人服用精神科相關藥物的反應及處置，下列何者最適當？",9,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-psychiatric-community-053","有關社區評估中重要人物訪談的敘述，下列何項最適當？",53,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-psychiatric-community-017","林同學高中生，近半年常在週末深夜 3～4 點回家，功課一落千丈，精神顯得恍惚、視覺模糊、協調性變差、心跳過速、血壓升高，近來常常夜尿頻繁而求診泌尿科，診斷為物質濫用導致的間質性膀胱炎。林同學最有可能使用下列那種毒品？",17,113,3,"2026-09-04",1788510714129]