[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-029","nurse-109-2-psychiatric-community-029",109,2,29,"李同學為自閉症類群障礙症病人，某日於團體治療時聽見救護車經過的聲音隨即尖叫拍打頭部，下列何種處置較合宜？",{"A":14,"B":15,"C":16,"D":17},"鼓勵他用言語表達感受","依醫囑提供鎮定藥物","引導團體成員給予支持","暫停其課堂活動給予短暫隔離","D",null,[],"本題考點在自閉症類群障礙者因感官超載出現激躁行為時的處置。此類病人對聲光刺激高度敏感，救護車聲引發尖叫、拍打頭部的自我刺激反應，首要是降低環境刺激、提供短暫隔離以協助其自我平復，故選 D。A 鼓勵用言語表達感受，在其正處於感官超載且可能有語言溝通困難時難以執行，時機不當。B 依醫囑給鎮定藥物屬升級處置，非感官超載當下的第一線措施。C 引導團體成員給予支持，反而增加人際與環境刺激，可能加劇激躁，故排除。核心在於先減少刺激、確保安全。","自閉症的感覺調節困難常見感覺過度反應，處置邏輯是「先降刺激、後談情緒」，低刺激環境（安靜、燈光柔和、減少人群）是穩定的第一步。拍打頭部屬自我傷害性的自我刺激行為，短暫隔離兼具降低刺激與安全防護。可連結感覺統合、結構化教學（TEACCH）與行為功能分析延伸複習。",[24,27,30,32],{"term":25,"count":26},"自閉症類群障礙症",8,{"term":28,"count":29},"降低環境刺激",3,{"term":31,"count":10},"自傷行為安全",{"term":33,"count":34},"感覺過度反應",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-030","人格違常的護理措施主要針對病人所出現之特殊行為或症狀處理，常見的問題行為下列何者正確？ ①自我傷害 ②操縱 ③衝動行為 ④自我照顧能力缺失",30,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-110-1-psychiatric-community-046","接種麻疹疫苗，是屬於下列何種傳染病防治原則？",46,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-060","下列何種食品添加物會引起類交感神經興奮？",60,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-112-1-psychiatric-community-018","有關思覺失調症病人之負性精神症狀，下列何者最適切？",18,112,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-113-1-psychiatric-community-012","有關思覺失調症病人常不規則服藥，下列何項出院藥物護理最不適切？",12,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-psychiatric-community-006","有關思覺失調症病因學，下列敘述何者正確？",6,114,"2026-09-04",1788510718072]