[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-110-1-產兒科護理學-057","nurse-110-1-maternal-pediatric-057",110,1,57,"小花，8 歲，罹患神經母細胞瘤末期，問護理師他是否快要死掉了，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"沒有啊，是誰告訴你的，不要想那麼多","為什麼你突然問這個問題，說說看你在擔心什麼","你聽誰說的？你是不是太累了，會不會聽錯了","每個人都會死掉，只是早死或晚死罷了","B",null,[],"本題考點是末期病童面對死亡提問時的治療性溝通技巧。8 歲病童直接詢問是否將死，考點在於選出能開放探索其感受的回應。依治療性溝通原則，以開放式問句邀請病童表達內在擔憂，能建立信任並了解其真正需求，故「說說看你在擔心什麼」最適當，選 B。A 否認並轉移（不要想那麼多）阻斷情緒表達。C 質疑病童（是不是聽錯）忽視其感受並顯輕視。D 空泛的生死哲理（每個人都會死）迴避了病童的個別情緒。故最適當者為 B。","與末期兒童溝通的核心是誠實、傾聽與情緒同在，避免虛假保證與否認。技巧包括開放式提問（說說看、你在想什麼）、反映情緒、沉默陪伴與評估其對死亡的認知階段。學齡期兒童已逐漸理解死亡的不可逆與普遍性，直接迴避反增其孤立感。治療性溝通阻礙包括給假保證、轉移話題、說教與評價，四個錯誤選項恰各對應一種阻礙。掌握「先探索感受、不急著給答案」即為安寧兒童照護的溝通基石。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":29},"開放式問句",3,{"term":31,"count":10},"末期病童",{"term":33,"count":10},"死亡認知",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-maternal-pediatric-058","協助學齡前期的手足面對病童瀕死的護理措施，下列敘述何者正確？",58,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-110-2-maternal-pediatric-074","王小弟，6 週大，每次餵奶後出現噴射式嘔吐，被診斷為幽門狹窄（pyloric stenosis），下列敘述何者正確？",74,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-111-2-maternal-pediatric-008","有關懷孕期間血液系統的變化，下列敘述何者錯誤？",8,111,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-112-2-maternal-pediatric-046","有關兒童氣質的相關敘述，下列何者錯誤？",46,112,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-113-3-maternal-pediatric-020","下列何種情況易導致待產婦女發生子宮內翻（Uterine Inversion）？①娩出胎盤時過度牽引臍帶 ②過早注射 Methergin ③在子宮底施加壓力（fundal pressure） ④胎盤早期剝離",20,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-maternal-pediatric-014","吳女士，G2P1AA1，因胎位不正施行剖腹產，採硬膜外麻醉（epidural anesthesis），剛從恢復室返回病房，其先生表示：「我太太何時可以開始吃東西？」下列護理指導何者最適當？",14,115,"2026-09-04",1788510722108]