[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-109-2-基本護理學與護理行政-018","nurse-109-2-fundamental-nursing-018",109,2,18,"林老先生主訴晚上睡不好，白天沒精神，護理師評估林老先生有「睡眠型態紊亂」的健康問題，有關此健康問題的鑑定性特徵，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"晚上醒來 3 次","病房太吵","日間常打瞌睡","反應遲鈍","B",null,[],"本題考點為護理診斷「睡眠型態紊亂」的鑑定性特徵與相關因素之區分。依定義,鑑定性特徵是支持該診斷成立的表徵(徵象與症狀),而「病房太吵」是造成睡眠障礙的環境相關\u002F導因因素,並非診斷的表現特徵,故 B 屬錯誤(非鑑定性特徵),選 B。A 晚上醒來 3 次、C 日間常打瞌睡、D 反應遲鈍皆為睡眠不足的具體表現,屬鑑定性特徵。考點在於辨識「相關因素(病因)」與「鑑定性特徵(表徵)」在護理診斷結構中的不同角色。","護理診斷 PES 架構:P(problem 問題,即診斷名稱)、E(etiology 相關因素,r\u002Ft)、S(signs\u002Fsymptoms 鑑定性特徵,a.e.b.)。「病房太吵」屬 E(導因),應寫在 r\u002Ft 之後;醒來次數、日間嗜睡、反應遲鈍屬 S(佐證診斷的證據)。考試常把導因混入特徵選項測辨識力。記憶:特徵=「看得到的證據」,相關因素=「造成問題的原因」。",[25,28,30,32],{"term":26,"count":27},"睡眠型態紊亂",1,{"term":29,"count":27},"鑑定性特徵 vs 相關因素",{"term":31,"count":27},"護理診斷 PES 架構",{"term":33,"count":27},"NANDA",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-019","下列何者為第一手資料來源？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-110-1-fundamental-nursing-035","為一位 76 歲罹患乳癌並有骨轉移之病人進行床上沐浴及背部護理時，下列方式何者較適宜？",35,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-049","陳先生手術後 6 小時呈現躁動，意識不清，欲拔除身上管路，護理師欲執行約束法，下列敘述何者錯誤？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-112-1-fundamental-nursing-007","下列那一項不屬於專業性人際關係的特點？",7,112,{"webId":54,"stem":55,"number":27,"year":56,"session":27},"nurse-113-1-fundamental-nursing-001","急診湧入大量病人，病房護理人員被派至急診支援時，聽從急診行政領導人員的指令，依據不同的工作性質，到固定地點拿取不同的護理設備與工具，固定分工協助急診病人照顧。此為那一類護理工作模式？",113,{"webId":58,"stem":59,"number":60,"year":61,"session":27},"nurse-114-1-fundamental-nursing-045","有關護理師常見的人因性職業傷害，下列何者錯誤？",45,114,"2026-09-04",1788510715612]