[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-110-2-精神科與社區衛生護理學-013","nurse-110-2-psychiatric-community-013",110,2,13,"初次入住精神科急性病房的李先生，擔心醫院伙食被人下毒，有被害妄想不願意用餐，下列何者護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"警告他如果不吃，就須鼻胃管灌食","讓病人協助準備食物，或自備食物","同意先讓他不吃，等餓了自然就肯吃","請其他病人向他保證食物沒有毒","B",null,[],"本題考點在被害妄想病人拒食的護理處置。依妄想病人照護原則，不與妄想內容爭辯，而是提供能降低其疑慮、增加控制感的變通方式，讓病人協助備餐或自備食物可減輕「食物被下毒」的恐懼，故選B最適當。A以鼻胃管灌食作威脅，屬強制與懲罰語氣，會加深不信任並破壞關係；C放任不吃等餓，忽視營養與安全需求，屬消極不作為；D請其他病人保證食物無毒，無法動搖固著的妄想信念，且將責任轉嫁他人，皆非妥適處置。","妄想照護三不三要：不爭辯、不否定、不附和；要接納情緒、要提供現實選擇、要建立信任。讓病人參與備餐或自備食物，是透過增加自我掌控來繞過妄想障礙，兼顧營養安全。妄想是固著錯誤信念，講理無效，重點在滿足底層的安全與控制需求。可連結：被害妄想、治療性溝通、現實導向、護病信任關係。",[24,27,30,32],{"term":25,"count":26},"被害妄想",10,{"term":28,"count":29},"妄想病人護理",1,{"term":31,"count":29},"拒食處置",{"term":33,"count":29},"信任關係",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-014","對於缺乏病識感的思覺失調症住院病人，拒絕服藥時，下列處理何者較為適當？",14,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-psychiatric-community-030","有關注意力不足／過動症（ADHD）的治療原則，下列何者最不適當？",30,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-044","有關鉛中毒的敘述，下列何者最不適當？",44,{"webId":49,"stem":50,"number":10,"year":51,"session":52},"nurse-112-3-psychiatric-community-002","病人對護理師說：「你對我真好，不像那個小夜班護理師，好兇喔！他還說你壞話……」，面對病人的分化性行為，護理師提供的護理原則，下列何者正確？①傾聽其想法及動機 ②保持中立的態度與其討論 ③隱藏此事，不必告訴其他護理人員 ④以就事論事的態度與其互動",112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-114-1-psychiatric-community-006","有關「以整個事件中的單一細節下結論，而沒有考慮整個事件中還有其他相關的訊息」，是屬於下列何項「負向認知思考模式」？",6,114,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-115-1-psychiatric-community-050","有關代謝症候群及其健康照護的敘述，下列何者最適當？",50,115,"2026-09-04",1788510730540]