[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-035","nurse-110-1-psychiatric-community-035",110,1,35,"王女士 45 歲，獨居，近半年來自我照顧能力差、常常自言自語，經常倒垃圾到鄰居家，鄰居苦不堪言，而多次報警，仍無法有效處理，有關社區心理衛生護理師之處置，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"立即聯合警消一起啟動精神疾病強制住院治療","確認王女士非為精神照護系統內登記之精神病人，故不須處理","通報衛生局連結醫療資源，由精神專科醫師到場評估，以進行確診及下一步處置","為避免與王女士衝突，不予處理","C",null,[],"本題考點為社區疑似精神病人的適當處置流程。考點在於辨識「通報衛生局連結醫療資源、由精神專科醫師到場評估以確診及後續處置」,故選C。依精神衛生法與社區照護流程,對疑似個案應循正式管道通報主管機關、連結醫療,由專科醫師評估後決定處置,兼顧病人權益與程序正當,故C正確。A「立即聯合警消啟動強制住院」錯在強制住院有嚴謹要件與程序,不能未經專科評估即逕行。B「非列管病人故不須處理」錯在忽略疑似個案的評估與協助責任。D「為避免衝突不予處理」錯在消極放任違反社區護理的守護與轉介職責。","精神衛生法對強制住院設有嚴格門檻:須為嚴重病人、有傷害自己或他人之虞、經專科醫師評估並依法定程序(含審查會)才能執行,非護理師或警消可逕行決定。正確流程是「發現疑似→通報衛生主管機關→連結醫療→專科醫師到場評估→確診與分級處置」,強調程序正當與病人權益保障。A的錯在跳過評估直接強制、B的錯在以是否列管作為是否協助的理由、D的錯在消極不作為——三者分別對應「過度強制、推諉、放任」三種不當反應。社區護理師的角色是評估、通報、轉介與資源連結的樞紐。",[24,27,30,32],{"term":25,"count":26},"精神衛生法",20,{"term":28,"count":29},"強制住院要件",4,{"term":31,"count":10},"通報與轉介流程",{"term":33,"count":10},"專科醫師評估",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-036","佛洛依德（Sigmund Freud）對偏差行為的看法，認為是早期發展衝突未能妥善解決的結果，此為運用下列何種模式？",36,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-110-2-psychiatric-community-052","有關社區健康評估的目的，下列何者不適當？",52,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-111-1-psychiatric-community-066","某公司工作現場環境測定後，報告中出現 8 小時日時量平均容許濃度（time weighted average, TWA）是代表什麼意思？",66,111,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-112-2-psychiatric-community-024","有關病人以身體症狀帶來附帶收穫（secondary gain）的敘述，下列何者最適切？",24,112,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-113-2-psychiatric-community-048","依據長期照顧服務法，身心失能持續已達或預期達多久以上者，可依個人或照顧者需求，申請相關長照服務？",48,113,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-114-3-psychiatric-community-042","有關衛生福利部進行原住民族及離島地區部落社區健康營造計畫目的，下列敘述何者最適當？",42,114,3,"2026-09-04",1788510722741]