[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-031":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-110-1-精神科與社區衛生護理學-031","nurse-110-1-psychiatric-community-031",110,1,31,"王小弟，5 歲，診斷為自閉症類群障礙症（Autism Spectrum Disorder），下列護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"評估王小弟的情緒、認知及日常生活功能，並鼓勵其發展適齡的技能","安排規律的治療、吃飯與就寢時間","每天關心王小弟，以期待他能有正向情感回饋","溝通必須清楚、具體及簡單化","C",null,[],"本題考點為自閉症類群障礙症(ASD)幼兒的護理措施,採反向命題找錯誤者。考點在於辨識「每天關心並期待其給予正向情感回饋」為不當,故選C。依ASD特質,病童在社會情緒互動與情感回應上本有障礙,以「期待其回饋正向情感」作為照護前提並不切實際,反易造成挫折,故C錯誤(為應選之答案)。A正確,評估情緒認知與日常功能並鼓勵發展適齡技能符合復健原則。B正確,規律的作息與可預期的結構能降低其焦慮。D正確,對ASD病童溝通須清楚、具體、簡單化以利理解。","ASD核心為「社會溝通與互動缺損」加「侷限重複的行為興趣」。護理原則環繞在「結構化、可預期、具體化」:規律作息(B)、具體簡單的溝通(D)、依發展層級鼓勵技能(A),都在降低不確定性帶來的焦慮。C的謬誤在於把神經典型兒童的照護期待(給予關愛就會得到情感回饋)套用到ASD病童,忽略其情感互動本身的困難,且將照護成效繫於病童的情感回報並不恰當。結構化教學(如TEACCH)、視覺提示與正向行為支持是常見的實證介入策略,可作延伸複習。",[24,27,30,32],{"term":25,"count":26},"自閉症類群障礙症",8,{"term":28,"count":29},"社會溝通缺損",2,{"term":31,"count":10},"結構化與可預期環境",{"term":33,"count":10},"具體簡化溝通",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-032","黃先生 43 歲，診斷為思覺失調症，症狀經常反覆惡化，兩個月前才剛出院返家，今日又因拒服藥、自我照顧能力差、暴力攻擊家人而入院，下列敘述何者正確？",32,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-048","社區護理師宜根據流行病學的方法學進行健康議題之評估，下列敘述何者正確？",48,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-062","何小明欲成為無國界醫療人員，其父母雖憂心仍支持他。是屬於 APGAR 家庭功能評估量表中的何種功能？",62,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-psychiatric-community-020","雙相情緒障礙症（Bipolar Disorder）的治療原則，下列何項敘述不適切？",20,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-psychiatric-community-044","提供社區經濟弱勢的獨居老人送餐服務，是屬於社區何種功能之發揮？",44,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-038","自來水消毒過程，氯與水中有機物結合，會產生下列何種有害健康物質？",38,114,3,"2026-09-04",1788510722688]