[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-019":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":11},"nurse-109-2-基本護理學與護理行政-019","nurse-109-2-fundamental-nursing-019",109,2,19,"下列何者為第一手資料來源？",{"A":15,"B":16,"C":17,"D":18},"病人：「我覺得胸悶、好痛呀！」","照服員：「病人已經好幾天沒有解大便了。」","護理師：「病人的臉色蒼白、冒冷汗。」","家屬：「他已經三天沒有好好睡覺，害我晚上也沒睡。」","A",null,[],"本題考點為資料來源的分級——第一手與第二手資料。依定義,第一手資料是直接來自當事人(病人本身)的陳述或觀察,選項 A 病人親口說「我覺得胸悶、好痛」即為第一手資料,選 A。B 照服員、D 家屬所提供者為他人轉述,屬第二手資料。C 雖為護理師直接觀察,但題目框架下第一手主觀資料的核心來源是病人本人;相較之下 A 直接出自病人主訴,最符合第一手來源定義。考點在於辨識資料來源以「病人本人」為第一手依據。","資料來源記憶:第一手(primary)=病人本人提供的主客觀資料;第二手(secondary)=家屬、照服員、其他醫療人員、病歷等旁人或文件來源。收集健康史時,病人主訴為最直接、最優先的第一手依據;無法自述(如昏迷、嬰幼兒)時才主要仰賴第二手。此題四選項分別代表病人、照服員、護理師、家屬,考的是來源分級而非主客觀之分。",[25,27,30,32],{"term":26,"count":11},"病人主訴",{"term":28,"count":29},"第一手資料 primary source",1,{"term":31,"count":29},"第二手資料",{"term":33,"count":29},"護理評估資料來源",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-020","病人出院攜帶數種藥物回家，下列何者應置放於冰箱？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-fundamental-nursing-036","灌腸時肛管大小之選擇，下列何者正確？",36,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-050","醫囑每 2 小時間歇管灌食的病人，已於 8：00 am 灌食 250 mL 後，於 10：00 am 管灌前反抽鼻胃管有 150 mL 之未消化液，下列處置何者最適當？",50,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-fundamental-nursing-008","有關護理紀錄書寫的內容，下列何者最適宜？",8,112,{"webId":54,"stem":55,"number":11,"year":56,"session":29},"nurse-113-1-fundamental-nursing-002","王先生因登革熱入院，下列敘述何者正確？",113,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-114-1-fundamental-nursing-046","對於工作意願低，工作能力也低的員工，下列何種管理策略最為適當？",46,114,"2026-09-04",1788510715622]