[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-032","nurse-110-1-psychiatric-community-032",110,1,32,"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？",{"A":14,"B":15,"C":16,"D":17},"入院時即須開始進行出院準備服務","護理師於病人入院時應立即主動約束病人以防再次攻擊暴力","出院前幾天才開始進行出院準備服務，以利病人記住","有鑑於病人經常反覆住院，因此建議病人應長期住院為佳","A",null,[],"本題考點為反覆住院思覺失調症病人的出院準備服務時機。考點在於辨識「入院時即應開始出院準備服務」,故選A。依出院準備服務理念,規劃應自入院即啟動,及早評估病人需求、資源與返家支持系統,以促進連續性照護,故A正確。B「入院即主動約束防暴」錯在約束屬最後手段,須在其他方式無效且有立即危險時才實施,不能一入院就例行約束。C「出院前幾天才開始」錯在延遲規劃不利銜接社區資源。D「建議長期住院」錯在違反去機構化與社區復健精神,長期住院易造成功能退化與社會隔離。","出院準備服務(discharge planning)的核心原則是「入院即開始、全程持續、跨團隊、以連續性照護為目標」,尤其對反覆入院(旋轉門現象)的病人,更需及早介入用藥遵從、家庭衛教、社區資源連結與追蹤機制,以打破反覆惡化-住院的循環。這呼應去機構化(deinstitutionalization)與社區精神復健的方向:協助病人回歸社區、維持功能,而非長期住院。約束隔離則屬病人安全的最後手段,須符合有立即危險、其他方法無效、限時並持續評估等條件——B選項正是用「例行化約束」違反最小限制原則設陷阱。",[24,27,30,33],{"term":25,"count":26},"出院準備服務",12,{"term":28,"count":29},"連續性照護",9,{"term":31,"count":32},"約束為最後手段",3,{"term":34,"count":10},"去機構化與社區復健",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-psychiatric-community-033","有關復元（recovery）的敘述，下列何者正確？",33,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-110-2-psychiatric-community-049","某職場對 460 名員工進行糞便潛血篩檢，結果呈現陽性反應的有 80 名，此 80 名員工到醫院進一步檢查確診為大腸直腸癌為 30 名，另對陰性反應者 380 名進行確認，350 名確認為無大腸直腸癌，關於此疾病篩檢何者正確？",49,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-psychiatric-community-063","張老先生患有失智症，因他有隨地大小便，且有誤食之問題。基於安全考量，社區護理師應優先建議家屬使用下列何項措施？",63,111,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-112-2-psychiatric-community-021","陳同學，18 歲，診斷為思覺失調症，父母擔心服藥會影響其學科考試成績。下列護理措施，何者最適切？",21,112,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-113-2-psychiatric-community-045","有關社區護理師於長期照護之角色與職責，下列何者最不適當？",45,113,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-114-3-psychiatric-community-039","造成溫室效應的氣體，下列何者最不適當？",39,114,"2026-09-04",1788510722700]