[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-109-2-精神科與社區衛生護理學-018","nurse-109-2-psychiatric-community-018",109,2,18,"丁小姐出現濃妝、著清涼亮麗服飾，主動進入異性的房間，找異性聊天，下列何項措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"帶入保護室隔離，減少干擾行為","限用物品，收回化妝品與衣物","了解行為原因，引導轉移注意力","四肢約束 1 小時，提醒不當行為","C",null,[],"本題考點為躁症病人行為脫抑制的護理處置。依躁期病人衝動、界線鬆散的特性，護理應以最少限制且具建設性的方式介入，故先了解行為原因並引導其轉移注意力至適當活動最為適宜，選 C。A 帶入保護室隔離屬高度限制手段，未達傷害危險不宜貿然使用。B 收回化妝品與衣物帶懲罰性，易引發對立且無助行為改善。D 四肢約束一小時同屬過度限制，約束僅限緊急危險時使用，不應作為提醒不當行為的手段。三者皆違反最少限制原則。","躁症的性脫抑制、誇大與界線問題是常見照護挑戰。處置以最少限制原則為軸：先同理與理解、再引導、以結構化活動疏導過剩精力（轉移注意力）。隔離與約束屬最後手段，須符合傷害自己或他人的緊急要件並定時評估。設限（limit setting）宜堅定而不懲罰。",[24,27,30,33],{"term":25,"count":26},"最少限制原則",7,{"term":28,"count":29},"設限技巧",4,{"term":31,"count":32},"躁症性脫抑制",3,{"term":34,"count":32},"轉移注意力",[36,40,46,50,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-019","丁小姐害怕服鋰鹽，擔心青春痘與發胖的副作用，下列何種護理處置最為適切？",19,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-110-1-psychiatric-community-035","王女士 45 歲，獨居，近半年來自我照顧能力差、常常自言自語，經常倒垃圾到鄰居家，鄰居苦不堪言，而多次報警，仍無法有效處理，有關社區心理衛生護理師之處置，下列何者較適當？",35,110,1,{"webId":47,"stem":48,"number":49,"year":44,"session":10},"nurse-110-2-psychiatric-community-049","某職場對 460 名員工進行糞便潛血篩檢，結果呈現陽性反應的有 80 名，此 80 名員工到醫院進一步檢查確診為大腸直腸癌為 30 名，另對陰性反應者 380 名進行確認，350 名確認為無大腸直腸癌，關於此疾病篩檢何者正確？",49,{"webId":51,"stem":52,"number":26,"year":53,"session":45},"nurse-112-1-psychiatric-community-007","有關電氣痙攣治療（electroconvulsive therapy, ECT）之併發症，主要為下列何項？①頭痛 ②腦出血 ③呼吸暫停 ④短暫記憶喪失",112,{"webId":55,"stem":56,"number":45,"year":57,"session":45},"nurse-113-1-psychiatric-community-001","有關情感轉移（transference）的敘述，下列何者正確？",113,{"webId":59,"stem":60,"number":61,"year":62,"session":45},"nurse-114-1-psychiatric-community-045","健康促進醫院為提升醫護人員的身體活動量而推動院內運動計畫，護理人員反應：「下班太累，無法參加」，此反應為潘德（Pender）健康促進模式中的何項行為認知？",45,114,"2026-09-04",1788510717968]