[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-026","nurse-109-1-psychiatric-community-026",109,1,26,"李同學診斷為邊緣型人格障礙症（Borderline Personality Disorder），手臂上很多的割痕，對於被媽媽送來住院非常的憤怒、對媽媽謾罵，下列何項是護理師目前最為適切的處置？",{"A":14,"B":15,"C":16,"D":17},"安慰媽媽，說明這是短暫的現象，請媽媽放心","根據行為治療與李同學訂定不自傷約定","請媽媽於住院期間不要探視，以免刺激病人","評估李同學為作態性自殺，不必注意手臂上的割痕","B",null,[],"本題考點在於邊緣型人格障礙症(BPD)伴自傷行為的護理處置。病人手臂多處割痕、情緒失控謾罵,依行為治療與安全優先原則,最適切的處置是與病人訂定「不自傷契約」,以行為約定強化其衝動控制、保障安全,故選B。A「安慰媽媽說這是短暫現象」把焦點放家屬而非處理自傷風險,非當前優先。C「請媽媽住院期間不要探視」缺乏依據且可能加重被遺棄感(BPD核心恐懼),不當。D「評估為作態性自殺、不必注意割痕」極危險,任何自傷徵象都須嚴肅評估,輕忽會釀嚴重後果。當前首要是確保安全,唯B訂定不自傷契約最適切。","BPD核心特徵:情緒不穩、人際關係極端(理想化與貶抑交替)、身份混亂、衝動自傷與被遺棄恐懼。護理重點:一致而清楚的界限、不自傷約定、辯證行為治療(DBT)、避免報復或忽視。切勿輕忽任何自傷。記憶:BPD最怕被拋棄,故「不要探視」會踩雷;自傷一律當真,先簽不自傷契約保安全。",[24,27,30,33],{"term":25,"count":26},"行為治療",14,{"term":28,"count":29},"邊緣型人格障礙症",4,{"term":31,"count":32},"自傷行為安全",2,{"term":34,"count":10},"不自傷契約",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-psychiatric-community-027","對身體症狀及相關障礙症（Somatic Symptom and Related Disorder）的病人提供照護時，下列敘述何者較適切？",27,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-109-2-psychiatric-community-043","某城市的生命統計指標顯示，粗出生率為 16‰，遷入率為 24‰，粗死亡率為 4‰，遷出率為 14‰，其社會增加率為何？",43,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-psychiatric-community-057","執行衛生教育計畫時，評估民眾的參與程度，是屬於下列何種評價？",57,110,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-2-psychiatric-community-015","關於認知行為治療技巧的敘述，下列何者最適當？",15,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-2-psychiatric-community-059","護理師在社區關懷據點進行失智預防衛生教育計畫，下列執行過程順序，何者最適當？①擬訂目標 ②確認需求 ③規劃內容 ④執行計畫 ⑤評價成效",59,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-psychiatric-community-023","對居住於精神護理之家的失智症住民照護原則，下列何者正確？①維持病房生活作息的常規化 ②儘可能維持住民的最大生活功能 ③安排其與同輩進行團體活動 ④經常改變病房佈置以強化定向感訓練 ⑤ 安排每天由不同人員照顧，以強化記憶功能",23,113,3,"2026-09-04",1788510714183]