[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":61},"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-019","nurse-109-2-psychiatric-community-019",109,2,19,"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？",{"A":14,"B":15,"C":16,"D":17},"保證絕無藥物副作用","請醫師更改處方","將藥物磨粉放入飲料中","先同理與傾聽其感受","D",null,[],"本題考點為病人用藥疑慮的治療性回應。依治療性溝通原則，面對丁小姐對鋰鹽副作用（青春痘、發胖）的害怕，護理師應先同理與傾聽其感受，建立信任並釐清擔憂，才能進一步衛教，故選 D。A 保證絕無藥物副作用屬不實保證，違背事實且損及信任。B 逕請醫師更改處方跳過了對感受的處理，也非護理師的優先角色。C 將藥物磨粉放入飲料屬欺瞞給藥，侵犯病人自主權且違反用藥倫理。三者皆未先回應病人的情緒與疑慮。","面對用藥疑慮，步驟是先接納情緒、傾聽澄清，再提供正確資訊與因應（如飲食、皮膚照護以減緩副作用），最後與醫療團隊討論調整。偷藏藥物於食物是強迫給藥，僅限法定緊急且符規範情形，常規照護嚴禁。同理心是建立治療同盟與提升服藥遵從度的基礎。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"同理與傾聽",1,{"term":31,"count":29},"用藥遵從性",{"term":33,"count":29},"給藥倫理",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-020","許太太入院第 1 天時，懷疑飯菜被下毒，拒絕進食，護理師已告知個案飯菜未被下毒，但個案仍不願進食，請問下列護理措施何項最適合？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-psychiatric-community-036","佛洛依德（Sigmund Freud）對偏差行為的看法，認為是早期發展衝突未能妥善解決的結果，此為運用下列何種模式？",36,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-050","有關病毒性腸胃炎之敘述，下列何者正確？",50,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-psychiatric-community-008","有關情緒穩定劑 Valproic Acid（Depakine ® ）的敘述，下列何者正確？",8,112,{"webId":54,"stem":55,"number":10,"year":56,"session":29},"nurse-113-1-psychiatric-community-002","有關多巴胺（dopamine）傳導路徑理論與思覺失調症的關係，下列敘述何者最適切？",113,{"webId":58,"stem":59,"number":26,"year":60,"session":29},"nurse-114-1-psychiatric-community-046","根據全民健康保險規定，可接受安寧緩和醫療照護之末期病人的主要支付診斷條件，下列何者最不適當？",114,"2026-09-04",1788510717972]