[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-025":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-025","nurse-109-2-psychiatric-community-025",109,2,25,"陳女士 45 歲，診斷思覺失調症，已有 20 年病史，無明顯急性症狀，有部分自我照顧能力不足，下列護理措施何項較適合？",{"A":14,"B":15,"C":16,"D":17},"餵陳女士吃飯","逐步引導陳女士準備洗澡用物","固定時間請家屬至醫院幫陳女士洗澡","與家屬討論，付費請功能較好的病友幫陳女士洗衣服","B",null,[],"本題考點在慢性思覺失調病人的復健護理原則：維持並促進其殘存的自我照顧功能，而非代勞。陳女士病史 20 年、無急性症狀、僅部分自理不足，屬功能復健對象，護理應採循序漸進的引導以強化其能力，故選 B「逐步引導準備洗澡用物」。A 餵陳女士吃飯是全面代勞，會剝奪並退化其進食自理能力。C 固定請家屬到院代洗，同樣以他人代替病人執行，無助功能維持。D 付費請病友代洗衣，除牽涉不當的病人間權責與倫理問題外，也未促進個案自理，故皆不適合。復健核心在於「協助做」而非「替他做」。","慢性精神病人的照護精神是最大化功能、最小化依賴，可用「do with, not do for」記憶。逐步引導對應行為塑造（shaping）與技巧訓練，將洗澡拆解為準備用物、調水溫、清洗等步驟循序增強。可連結社會心理復健、日常生活活動（ADL）訓練與獨立生活技巧訓練等概念延伸複習。",[24,27,30,32],{"term":25,"count":26},"精神復健",15,{"term":28,"count":29},"自我照顧能力",3,{"term":31,"count":29},"行為塑造",{"term":33,"count":34},"殘存功能維持",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-026","下列有關社區精神復健的照顧重點敘述，何者最適切？",26,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-110-1-psychiatric-community-042","護理師發現社區有行動不便的獨居老人，無法自行就醫，於是她向轄區里長爭取安排社區志工陪病就醫，下列何者較能描述護理師的角色功能？",42,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-056","有關健康促進的概念，下列敘述何者正確？",56,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-112-1-psychiatric-community-014","陳先生在住院期間，與多位病人有衝突，且多次出手攻擊。在訂定行為治療時，下列何項措施最適宜？",14,112,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-113-1-psychiatric-community-008","葉同學剛滿18歲，診斷為雙相情緒障礙症（bipolar disorder），媽媽非常不解的詢問護理師為什麼會這樣。關於疾病的生物病因，下列何項回答最為適切？",8,113,{"webId":60,"stem":61,"number":10,"year":62,"session":10},"nurse-114-2-psychiatric-community-002","有關治療性人際關係的敘述，下列何者錯誤？",114,"2026-09-04",1788510718033]