[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-040","nurse-110-1-psychiatric-community-040",110,1,40,"承上題，經醫護人員規勸，病人仍無法控制行為時，需進行身體約束隔離措施，下列敘述何者正確？ ①身體約束目的是由具體的身體控制，以保護病人不傷害自己及他人 ②執行身體約束過程中，無須告知病人執行目的和時間，只要注意約束過程確保人員安全即可 ③執行身體約束隔離時，每 15 分鐘應探視病人，評估生理狀況與需求 ④疏散現場圍觀者",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①③④","①②④","C",null,[],"本題考點為身體約束隔離的正確執行原則。考點在於辨識「保護目的、定時探視評估、疏散圍觀者」皆正確,故選①③④(C)。依約束安全規範,約束目的在以身體控制保護病人免於傷害自己或他人(①正確);執行時須定時(每15分鐘)探視,評估生理狀況、血循、需求與安全(③正確);並疏散現場圍觀者以維護病人隱私與現場秩序(④正確)。②「無須告知病人執行目的與時間」錯在約束前後仍應向病人說明目的與預期時間,維護其知情與尊嚴,並非只顧人員安全而略過告知,故排除含②的A、B、D。","約束隔離是最小限制原則下的最後手段,執行有嚴謹規範:須有醫囑、明確理由(立即危險且其他方式無效)、限時並持續評估、定時探視(生命徵象、肢體血循、皮膚、如廁與飲食需求),並全程記錄。即使病人激躁,仍應以簡短清楚的方式告知約束目的與預計時間——這既是知情與尊嚴的維護,也有助降低對立,②正是在這一點上設錯。約束的目標是「保護而非懲罰」,一旦危險解除應儘速解除約束。此題延續前題情境,從現場安全推進到約束的執行細節,常見錯項就是「省略告知」與「不必評估」這類違反病人權益與安全監測的敘述。",[24,27,29,31],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":10},"身體約束隔離",{"term":30,"count":10},"定時探視評估",{"term":32,"count":10},"知情告知與尊嚴維護",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-psychiatric-community-041","熟悉流行病學與生命統計資料，分析與運用相關健康數據以監測社區計畫成效，是屬於社區護理師應具備的何種能力？",41,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-psychiatric-community-057","有關衛生教育的評價，下列敘述何者正確？",57,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-071","衛生福利部推動職場健康促進的歷程依序為何？①強化職場健康促進計畫 ②推廣職場健康體適能、職場戒菸、戒檳榔和降低體脂肪 ③結合各種資源推行職場健康促進模式 ④健康職場認證",71,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-psychiatric-community-029","有關物質使用障礙症的護理措施中，下列何者較不適切？",29,112,{"webId":54,"stem":55,"number":56,"year":57,"session":56},"nurse-113-3-psychiatric-community-003","王先生罹患慢性思覺失調症，精神症狀穩定，但局部功能退化，具有復健潛能，需積極復健治療，下列安排何者最適合？",3,113,{"webId":59,"stem":60,"number":61,"year":62,"session":56},"nurse-114-3-psychiatric-community-047","有關失智症個案照護之目標，下列敘述何者最不適當？",47,114,"2026-09-04",1788510722787]