[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-057":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-057","nurse-110-2-maternal-pediatric-057",110,2,57,"有關護理師與癌症末期病童談論有關死亡的溝通方式，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可鼓勵學齡期病童憑空想像死亡的意義","避免與病童討論死亡議題","提供病童遊戲和藝術，表達其想法與感受","給予病童痊癒的希望","C",null,[],"本題考點是與癌症末期病童談論死亡的溝通原則。考點在於以病童能理解的方式，提供安全的情緒宣洩管道並誠實面對，而非迴避或給予不實承諾。選項C提供遊戲與藝術治療，讓語言表達受限的兒童透過非語言方式表達對死亡的想法與感受，最符合兒童發展的溝通策略，故為答案。A鼓勵學齡期病童「憑空想像」死亡意義並不恰當，學齡期兒童已開始理解死亡的不可逆與普遍性，應以具體、誠實方式回應而非空想；B避免討論死亡議題會使病童更孤立與焦慮，錯誤；D給予「痊癒的希望」屬不實承諾，違反誠實原則，錯誤。故C最適當。","兒童死亡概念隨認知發展:嬰幼兒無概念、學齡前視死亡為可逆或暫時、學齡期(約9–10歲)理解死亡不可逆與普遍性、青少年趨近成人並帶哲學與情緒衝擊。臨終溝通原則:誠實、以發展階段調整語言、允許情緒、不給假希望。遊戲治療與藝術治療是兒科表達性介入的核心工具。可連結:預期性哀傷、Kübler-Ross哀傷五階段、家庭中心照護與安寧緩和理念。",[24,26,28,31],{"term":25,"count":10},"兒童死亡概念",{"term":27,"count":10},"遊戲治療",{"term":29,"count":30},"臨終溝通",1,{"term":32,"count":30},"認知發展階段",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-058","新生兒經母子垂直感染後天免疫缺乏症候群（AIDS），有關護理措施之敘述，下列何者錯誤？",58,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-111-1-maternal-pediatric-074","咚咚，4 個月大，疑似泌尿道感染（urinary tract infection）住院，經排尿性膀胱尿道攝影（Voiding cystourethrogram, VCUG）檢查，確認為第三級，下列敘述何者正確？",74,111,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-112-1-maternal-pediatric-008","懷孕期愛滋血清試驗中，對於初篩連續兩次陽性反應之個案，衛生單位應聯繫孕婦進行下列那項措施？",8,112,{"webId":49,"stem":50,"number":51,"year":47,"session":52},"nurse-112-3-maternal-pediatric-046","有關輪狀病毒（rotavirus）和諾羅病毒（norovirus）之比較，下列敘述何者錯誤？",46,3,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-114-1-maternal-pediatric-050","小美，15個月大，從樓梯跌落導致頭部受傷，急診護理師依據兒童適用之葛氏昏迷量表（Glasgow coma scale, GCS）評估其意識程度，結果顯示叫他時會睜眼，雖會哭泣但可安撫，輕觸其手臂會收縮反應，請問小美的昏迷指數為幾分？",50,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-044","小美，3 歲，罹患癌症需接受化學藥物治療，住院抽血檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 400\u002Fmm 3 ，下列護理措施何者正確？",44,115,"2026-09-04",1788510730137]