[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-080","nurse-109-2-psychiatric-community-080",109,2,80,"張老太太是中度失智症個案，近日家屬對個案常尿濕褲子而困擾，有關社區護理師的護理指導，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"避免自尊受挫，建議為個案包成人尿布","避免過多液體攝取，建議 1,500 mL 以下","定時帶個案如廁","建議為個案使用束腹帶","C",null,[],"本題考點是中度失智症個案尿失禁的護理指導。依失智照護原則，中度失智者的尿失禁多屬功能性失禁(認知退化致無法及時如廁),最適當的措施是「定時帶個案如廁(排尿訓練)」以建立規律、減少失禁，故正解為 C。考點在於選擇維持自主與尊嚴的非藥物介入。A「包成人尿布」雖便利但屬被動處置，易致皮膚問題與依賴、傷及自尊，非首選故排除。B「限制液體 1,500 mL 以下」錯誤，過度限水可能導致脫水與泌尿道感染，不宜作為主要對策故排除。D「使用束腹帶」屬約束措施，與失禁處置無關且損及尊嚴與安全故排除。因此定時如廁是兼顧功能維持與尊嚴的最適當指導。","失智尿失禁多為功能性失禁，處置優先採行為療法:定時如廁(timed voiding)、提示性如廁訓練、環境改造(標示廁所、易穿脫衣物、夜間照明)。應避免以尿布或約束替代訓練，並排除感染、藥物等可逆因素。核心照護理念是維持個案剩餘功能與尊嚴，束腹帶屬身體約束，須符合最小化約束原則不可濫用。",[24,27,29,31],{"term":25,"count":26},"失智症照護",4,{"term":28,"count":10},"功能性尿失禁",{"term":30,"count":10},"定時如廁訓練",{"term":32,"count":33},"維持尊嚴與自主",1,[35,39,43,48,53,58],{"webId":36,"stem":37,"number":33,"year":38,"session":33},"nurse-110-1-psychiatric-community-001","依據現行精神衛生法，基於對精神病人的保護，經專科醫師診斷或鑑定，屬嚴重病人者，應置保護人一人。專科醫師應開具診斷證明書交付保護人，此保護人應考量嚴重病人利益。依條文敘述保護人可為：①監護人 ②法定代理人 ③同居人 ④配偶 ⑤父母 ⑥家屬 ⑦心理師",110,{"webId":40,"stem":41,"number":42,"year":38,"session":10},"nurse-110-2-psychiatric-community-017","有關病人於住院期間憂鬱症的照護，下列敘述何者正確？",17,{"webId":44,"stem":45,"number":46,"year":47,"session":33},"nurse-111-1-psychiatric-community-031","張先生，80 歲，診斷為阿茲海默症，因情緒激動及焦慮而住院。近日因不明原因發燒、咳嗽有痰不舒服，表示要回家，且對陪同住院媳婦不諒解，故出手打了媳婦一巴掌。下列何者護理措施最適當？",31,111,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-112-1-psychiatric-community-069","下列何者屬於社區無形資源？①社區意識 ②人力資源 ③文化規範 ④社區凝聚力 ⑤物力資源",69,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-psychiatric-community-013","有關思覺失調症的致病原因，下列敘述何者最不適切？",13,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-007","關於同理心，下列敘述何者最適當？",7,114,3,"2026-09-04",1788510718570]