[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-020","nurse-109-2-psychiatric-community-020",109,2,20,"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？",{"A":14,"B":15,"C":16,"D":17},"依照個案要求，購買罐裝食物","用餐時間，工作人員坐在個案旁邊，以確保其安全感，以利進食","工作人員戴手套及口罩拿餐點給個案，以確保食物在嚴密保護下未下毒","帶個案外出到餐廳選擇自己愛吃的食物","A",null,[],"本題考點為被害妄想拒食病人的護理處置。依妄想照護原則，不與病人爭辯妄想內容，而以降低其疑慮的方式促進進食，故提供未開封的罐裝食物，讓病人親見包裝完整、確信未遭下毒，最能實際協助進食，選 A。B 工作人員坐旁邊未能消除食物被下毒的疑慮。C 戴手套口罩遞餐反而強化需嚴密防護的妄想，助長病態信念。D 帶外出餐廳既不切實際也未處理其對食物遭下毒的核心恐懼，且有安全與現實考量。","面對被害或被下毒妄想，護理不否定也不強化妄想，而採不爭辯、給選擇、降疑慮的策略。密封罐裝或病人自行開啟的包裝食物，讓其自主確認安全，是常用務實做法。強化性動作（如過度防護儀式）會鞏固妄想。建立信任、規律陪伴與現實導向溝通為長期關鍵。",[24,27,29,32],{"term":25,"count":26},"被害妄想",10,{"term":28,"count":10},"不爭辯妄想",{"term":30,"count":31},"拒食護理",1,{"term":33,"count":31},"密封食物",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-021","蔡小姐診斷為思覺失調症，第一次發病，護理師觀察到個案眼神閃爍，站在病室前，神情緊張，個案告訴護理師一直聽到有人在罵自己醜女人，我真的好痛苦，下列護理師的回應何者最適切？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-psychiatric-community-037","提供穩定之慢性思覺失調症病人至社區復健中心持續接受照護，是屬於下列何項預防概念？",37,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-051","進行社區健康評估時，評估社區民眾教育程度的主要理由，下列何者最適當？",51,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-psychiatric-community-009","協助病人規則服用 Lithium Carbonate，下列措施何者最不適宜？",9,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-psychiatric-community-003","有關家庭治療之敘述，下列何者最適切？",3,113,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-114-1-psychiatric-community-047","85歲方奶奶獨居，巴氏量表評估為65分，目前無法自行洗澡和備餐，需有社區志工陪同就醫。若要申請長期照顧服務項目，何項最合適？",47,114,"2026-09-04",1788510717976]