[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-110-2-精神科與社區衛生護理學-079","nurse-110-2-psychiatric-community-079",110,2,79,"王老先生向社區護理師主訴他最近常提不起精神、感覺無力、不想出門、體重也減輕，下列護理師的處置何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"轉介至老年醫學科或家醫科就診","轉介參加社區延緩失能失智活動","教導預防跌倒策略","建議多休息，以利恢復體能","D",null,[],"本題考點為老年憂鬱與衰弱徵象的辨識與處置，須選「最不適當」者。王老先生出現提不起精神、無力、不想出門、體重減輕等症狀，符合老年憂鬱與衰弱症的警訊，應積極轉介評估與介入。選項 D「建議多休息以利恢復體能」會助長活動減少、加速失能與社交退縮，方向錯誤，屬最不適當，選 D。A 轉介老年醫學科或家醫科釐清病因、B 轉介社區延緩失能失智活動促進活動與社交、C 教導預防跌倒策略因應肌力下降，皆為適當處置。老年衰弱與憂鬱的介入原則是鼓勵活動與及早評估，而非一味休息。","老年人的食慾差、體重減輕、活力低落須警覺兩大方向：老年憂鬱（常以身體症狀表現，非典型悲傷）與衰弱症（frailty，含體重減輕、疲憊、握力下降、行走緩慢、活動量低五指標）。處置核心是「動起來」——運動與社會參與可同時改善憂鬱與衰弱，故「多休息」正好背道而馳。記憶重點：老年照護題凡鼓勵臥床、久坐、減少活動多為陷阱。可連結老年憂鬱量表（GDS）與衰弱評估。",[24,26,29,31],{"term":25,"count":10},"老年憂鬱",{"term":27,"count":28},"衰弱症 frailty",1,{"term":30,"count":28},"延緩失能失智",{"term":32,"count":28},"老年功能評估",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-080","依據病人自主權利法規定，有關輕度認知障礙者事先預立醫療決定的敘述，下列何者正確？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-psychiatric-community-016","張太太，58 歲，診斷為憂鬱症，入院第三天，整天躺床，覺得焦慮不安、精神不集中且常常哭泣，對病房活動沒有參與動機，下列何者照護措施較適當？",16,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-psychiatric-community-030","下列有關厭食症（Anorexia nervosa）之敘述，何者錯誤？",30,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-psychiatric-community-018","廖奶奶，84歲，獨居，三個月前經歷結縭60年的老伴過世，面帶愁容、不與人打招呼。廖奶奶向女兒表示自己不想再吃藥了，活著沒有意思。評估廖奶奶的精神健康狀況後，下列何者應為最優先的護理處置？",18,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-psychiatric-community-022","有關社區心理衛生中心的敘述，下列何者正確？",22,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-psychiatric-community-016","王先生，32 歲，診斷為思覺失調症（schizophrenia），入院第 3 天，白天躺床拒絕參加病室活動，表示自己晚上都睡不好，因為平時沒那麼早睡，醫院作息太早睡了，很不習慣。為協助王先生改善睡眠，下列那一項措施最適合？",106,"2026-09-04",1788510731212]