[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":25},"nurse-109-2-精神科與社區衛生護理學-040","nurse-109-2-psychiatric-community-040",109,2,40,"張先生 48 歲，參與精神科日間留院復健活動，案妹轉述個案不常洗澡有異味，房間地上堆滿雜物，案妹擔心個案相關照顧問題。下列何項為張先生最需要的照護？",{"A":14,"B":15,"C":16,"D":17},"生活自我管理","安排社會參與","轉介庇護性工作","進行危機處置","A",null,[],"本題考點在依個案需求排定精神復健的照護重點。張先生在日間留院期間出現不常洗澡、身有異味、房間堆滿雜物等問題，核心是個人衛生與居家環境維持的自理能力不足，最需要的即生活自我管理訓練，故選 A。B 安排社會參與著重人際與社區活動，未直接對應其自理缺失。C 轉介庇護性工作屬職業復健層次，須在基本生活自理穩定後才進行。D 進行危機處置適用於自傷、傷人或急性惡化等緊急狀況，題幹並無此類立即危險。因此，針對衛生與環境的自理問題，優先強化生活自我管理最為貼切，其餘均非當前首要，故排除。","精神復健常依需求層次排序，先鞏固日常生活活動（ADL）與個人衛生等基礎自理，再逐步推進社會參與與職業復健。可用馬斯洛概念記憶：生理與安全層面的自理先於社交與自我實現層面的就業。可連結日間留院功能、獨立生活技巧訓練與職能治療活動分級延伸複習。",[24,26,28,30],{"term":14,"count":25},1,{"term":27,"count":25},"日常生活活動",{"term":29,"count":25},"精神復健需求排序",{"term":31,"count":25},"個人衛生",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-2-psychiatric-community-041","有關政府對偏鄉醫療照護提供之措施，下列何者正確？",41,{"webId":38,"stem":39,"number":40,"year":41,"session":25},"nurse-110-1-psychiatric-community-057","執行衛生教育計畫時，評估民眾的參與程度，是屬於下列何種評價？",57,110,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-110-2-psychiatric-community-071","職業衛生護理的工作內容與其他社區群體護理最大的不同為何？",71,{"webId":47,"stem":48,"number":49,"year":50,"session":25},"nurse-112-1-psychiatric-community-029","有關智能不足的治療原則與預後，下列何者正確？",29,112,{"webId":52,"stem":53,"number":54,"year":55,"session":25},"nurse-113-1-psychiatric-community-023","災難急性期運用安心團體（debriefing），下列敘述何者最適切？",23,113,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-114-2-psychiatric-community-017","承上題，對於李同學應採取的護理措施，下列何者最適當？",17,114,"2026-09-04",1788510718195]