[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-110-2-產兒科護理學-054","nurse-110-2-maternal-pediatric-054",110,2,54,"小衡，7 歲，因妥瑞氏症（Tourette’s disorder），在學校常出現搖頭聳肩、發出狗叫聲，導致班上同學嘲笑，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"疾病會影響智能發展，宜提供特殊教育","評估小衡對疾病的認知程度，給予正向的心理支持","教導小衡學會放鬆，減少因身體抽動導致疲倦的症狀","教導家屬發掘小衡潛能或專長，以建立良好的自信心","A",null,[],"本題考點是妥瑞氏症的疾病特性與心理社會照護。考點在於辨識妥瑞氏症屬於慢性動作與聲語型抽動(tic)障礙，屬神經生理問題，並不影響智能發展，患童智力多為正常。選項A宣稱「疾病會影響智能發展，宜提供特殊教育」，前提錯誤，故為不適當的答案。B評估病童對疾病的認知並給予正向心理支持，可減輕因被嘲笑產生的自卑，正確；C教導放鬆技巧，抽動在緊張時加劇、放鬆時減緩，符合病理，正確；D協助家屬發掘潛能與專長以建立自信，能對抗同儕嘲笑帶來的挫折，正確。三者皆針對心理支持與症狀調適，唯A對智能的錯誤假設不成立。","妥瑞氏症診斷準則(DSM-5):同時具多種動作型抽動及至少一種聲語型抽動，18歲前起病、持續逾一年。抽動可短暫被意志壓抑但隨後反彈，且在壓力、疲倦時加重。常合併ADHD與強迫症(OCD)但智能正常。記憶對比:tic可暫時抑制，痙攣(seizure)不可。可連結:多巴胺系統過度活躍假說，藥物如可樂定(clonidine)、抗多巴胺劑用於嚴重個案；照護重點在去汙名化與同儕教育。",[24,26,29,31],{"term":25,"count":10},"妥瑞氏症",{"term":27,"count":28},"抽動障礙",1,{"term":30,"count":28},"智能發展",{"term":32,"count":28},"心理社會支持",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-055","小妮，1 歲半，診斷為蠶豆症（G-6-PD），有關此疾病之兒童與家庭壓力反應之護理措施，下列敘述何者最不適當？",55,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-maternal-pediatric-071","小奇，10 歲，診斷為第一型糖尿病，有關運動的護理指導，下列敘述何者較不適當？",71,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-005","陳女士，懷孕 32 週，預計採陰道生產。下列何項為最有效的伸展會陰部肌肉之產前運動？",5,112,{"webId":49,"stem":50,"number":51,"year":47,"session":52},"nurse-112-3-maternal-pediatric-043","有關威爾姆氏腫瘤（Wilms tumor）起源於下列那個器官或系統？",43,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-maternal-pediatric-047","小敏，8歲，因為長期嚴重便秘而入院檢查，檢查後發現大量大便堆積腸道，欲執行大量灌腸。有關大量灌腸的護理指導，下列敘述何者最不適當？",47,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-041","12 歲病童，診斷為風濕性心臟病（rheumatic heart disease），下列症狀何者較不會出現？",41,115,"2026-09-04",1788510730110]