[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-021","nurse-109-1-psychiatric-community-021",109,1,21,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點在於憂鬱症病人自殺徵兆辨識與優先護理處置。病人分送心愛首飾、凝視窗外、說「生命有如輕煙」,屬明顯自殺警訊,依自殺防治優先原則,首要處置為①敏銳觀察自殺徵兆與②鼓勵表達自我感受以評估自殺意念並宣洩情緒,故選①②④的B。此外④鼓勵參與活動可轉移注意、提供支持與成就感亦屬適當。③「安排人少的房間」錯,有自殺風險者應安置於便於觀察、人員易到達之處(甚至靠近護理站),而非人少獨處的房間,獨處反增加自殺機會且不易即時發現。A、C均含③這個增加自殺風險的錯項,唯B避開,故為正解。","自殺警訊(如分送心愛物品、道別、談論死亡)代表高危,護理優先:確保安全、持續觀察、移除危險物品、安置易觀察處、鼓勵表達、訂定不自傷約定。切忌讓其獨處於隱蔽空間。記憶:自殺高危→「看得到、找得到、談得開」;安排人少獨處房間與此原則相反,是常見陷阱選項。",[24,27,29,31],{"term":25,"count":26},"憂鬱症護理",2,{"term":28,"count":10},"自殺徵兆辨識",{"term":30,"count":10},"自殺防治優先處置",{"term":32,"count":10},"持續觀察安全",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-psychiatric-community-022","針對思覺失調症（Schizophrenia）的負性症狀（negative symptoms），下列何者正確？",22,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-psychiatric-community-038","李先生在門診出現言語謾罵、挑釁，當護理師前來說明時，隨即打護理師，並生氣的說：「我等 2 小時，都還沒看到我」，李先生的行為較屬於下列那一項？",38,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-psychiatric-community-052","依據 Anderson 和 McFarlane（2008）以社區為夥伴模式進行社區評估，下列敘述何者錯誤？",52,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-psychiatric-community-010","有關思覺失調症病因的敘述，下列何者最適當？",10,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-psychiatric-community-054","有關預防校園腸病毒措施，下列何項最適當？",54,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-psychiatric-community-018","有關自閉症類群障礙症（autism spectrum disorder）的描述，下列何者正確？",18,113,3,"2026-09-04",1788510714135]