[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-014","nurse-110-2-psychiatric-community-014",110,2,14,"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？",{"A":14,"B":15,"C":16,"D":17},"向病人解釋此為維他命沒有副作用，只要肯服下就好","了解病人拒服藥的原因，觀察其是否有藏藥行為","警告病人不服藥，就不能出院","採鼻胃管灌藥，以確保服下藥物","B",null,[],"本題考點在缺乏病識感、拒絕服藥病人的護理處置。依用藥安全與治療性溝通原則，應先了解病人拒藥的真正原因(如副作用、妄想、否認疾病)並觀察有無藏藥行為以確保藥物確實服用，故選B最適當。A謊稱藥物是無副作用的維他命屬欺騙，破壞信任且違反知情原則；C以「不服藥就不能出院」威脅，屬脅迫語氣，會加深抗拒與敵意；D直接鼻胃管灌藥是強制手段，在非緊急、病人尚可溝通時屬過度侵入，皆不符合尊重與治療關係的處置原則。","服藥不順從(non-adherence)在思覺失調症極常見，成因含病識感缺乏、副作用、妄想懷疑、否認。處置先評估原因、再衛教與協商，觀察藏藥(cheeking)可用液劑或口溶錠因應。誠實、尊重、了解動機是關鍵，欺騙與脅迫會破壞長期治療同盟。可連結：病識感、服藥順從性、藏藥行為、長效針劑(LAI)。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"病識感",11,{"term":31,"count":32},"服藥順從性",5,{"term":34,"count":35},"藏藥行為",1,[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-psychiatric-community-015","有關雙相情緒障礙（bipolar disorder）的病因，下列敘述何者正確？",15,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-111-1-psychiatric-community-031","張先生，80 歲，診斷為阿茲海默症，因情緒激動及焦慮而住院。近日因不明原因發燒、咳嗽有痰不舒服，表示要回家，且對陪同住院媳婦不諒解，故出手打了媳婦一巴掌。下列何者護理措施最適當？",31,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-psychiatric-community-045","全民健康保險大幅減低就醫者的經濟負擔，造成民眾因而可能隨意使用過多的醫療服務，此現象為下列何種危害？",45,{"webId":51,"stem":52,"number":53,"year":54,"session":53},"nurse-112-3-psychiatric-community-003","施先生因症狀不穩而住院治療，他說：「我真的沒病，為什麼把我關起來？」，護理師使用同理心的技巧回應，下列何者最適宜？",3,112,{"webId":56,"stem":57,"number":58,"year":59,"session":35},"nurse-114-1-psychiatric-community-007","下列何者不是動機式晤談法（motivational interview）的基本原則？",7,114,{"webId":61,"stem":62,"number":35,"year":63,"session":10},"nurse-115-2-psychiatric-community-001","林先生，診斷為思覺失調症（schizophrenia），近因被害妄想、情緒激躁，因此住院治療，一週後情緒趨於穩定，林先生詢問何時可以出院，下列護理師告知病人的處理何者最適當？",115,"2026-09-04",1788510730545]