[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-032":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-032","nurse-109-2-psychiatric-community-032",109,2,32,"李小姐因厭食症住進精神科急性病房，身高 158 公分，體重由原 56 公斤，在半年內降至 36 公斤，因在家昏厥而入院，於靜脈注射後已恢復意識，但不願進食，住院第一週首要的護理措施為何？",{"A":14,"B":15,"C":16,"D":17},"提供精神動力分析","建立飲食行為約定","提供認知治療","提供家庭治療","B",null,[],"本題考點在厭食症急性住院期的護理優先順序。個案半年內由 56 公斤驟降至 36 公斤（BMI 約 14）、已昏厥並靜脈注射恢復意識，屬生命受威脅的營養極度不足狀態，住院首週首要是恢復進食與體重、矯正營養與電解質失衡，作法是建立結構化的飲食行為約定，故選 B。A 精神動力分析、C 認知治療、D 家庭治療雖是厭食症整體治療的一環，但均屬體重與生理狀態穩定後才進行的心理層面介入。生理安全優先於心理治療，在病人拒食且體重危急時，先以行為約定確保攝食才是當務之急，故其餘皆非首要。","厭食症護理可用馬斯洛需求層次記憶：生理與安全（進食、體重、電解質、防再餵食症候群）優先於心理治療。再餵食症候群（refeeding syndrome）需監測低血磷、低血鉀，故營養需循序漸進。行為約定常設定每日體重與熱量目標並結合正增強。可連結電解質失衡、BMI 判讀與行為治療延伸複習。",[24,27,29,32],{"term":25,"count":26},"護理優先順序",4,{"term":28,"count":10},"厭食症",{"term":30,"count":31},"飲食行為約定",1,{"term":33,"count":31},"營養與生理穩定",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-033","為促進社區中慢性病人與家屬的溝通，護理師應扮演何種角色？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-psychiatric-community-049","以本國居民及移居海外之華僑進行鼻咽癌比較研究，較可能找出何種因子的影響？",49,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-063","有關社區護理師能夠順利執行家庭護理措施，下列基本原則何者最重要？",63,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-psychiatric-community-021","趙小姐診斷為思覺失調症，以下針對思覺失調症的敘述，何者正確？",21,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-psychiatric-community-015","有關美沙冬（methadone）的敘述，下列何者正確？",15,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-009","有關 Caplan 的危機理論，下列敘述何者最適當？",9,114,"2026-09-04",1788510718116]