[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-080","nurse-110-2-psychiatric-community-080",110,2,80,"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？",{"A":14,"B":15,"C":16,"D":17},"18 歲以上者都可以簽署預立醫療決定","意願人簽署「預立醫療決定」前須先經醫療機構「預立醫療照護諮商」","家屬可全權代理簽署「預立醫療決定」文件","有認知障礙者不能簽立「預立醫療決定」","B",null,[],"本題考點為《病人自主權利法》預立醫療決定（AD）的簽署要件。依病主法，意願人簽署預立醫療決定前，必須先經醫療機構提供的「預立醫療照護諮商（ACP）」，確認其了解病情選項與善終意願後方可簽署，此為法定必要程序，選 B。A 資格為具完全行為能力之人（現行為 18 歲以上或已成年，但仍須經諮商），僅憑年齡不足以完成簽署，敘述不完整。C 預立醫療決定強調本人意願自主，家屬不得全權代理簽署。D 輕度認知障礙者若仍具行為能力與判斷力，並非一概不能簽立。故正確者為 B。","病主法三大配套要件缺一不可：預立醫療照護諮商（ACP，本人＋二親等內親屬或醫療委任代理人參與）、預立醫療決定（AD，經見證或公證）、註記於健保卡。核心精神是「本人自主、事前表達」，故家屬不能代簽，且諮商是簽署的前置門檻。輕度認知障礙的關鍵在是否仍具意思能力，非一律排除。記憶重點：AD 生效需先經 ACP；本人意願優先於家屬。可對照安寧緩和醫療條例的 DNR 意願書之異同。",[24,26,29,31],{"term":25,"count":10},"病人自主",{"term":27,"count":28},"病人自主權利法",1,{"term":30,"count":28},"預立醫療照護諮商 ACP",{"term":32,"count":28},"預立醫療決定 AD",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":28,"year":37,"session":28},"nurse-111-1-psychiatric-community-001","王奶奶，80 歲，因憂鬱症住院。低聲說：「我全身都壞了，兒子不孝順只想要我的財產而已。」護理師說：「妳是擔心自己的身體和財產嗎？」此時護理師所運用的溝通技巧為：",111,{"webId":39,"stem":40,"number":41,"year":37,"session":10},"nurse-111-2-psychiatric-community-017","楊小姐，52 歲，診斷為憂鬱症，向護理師抱怨：「請你告訴醫生吃藥讓我非常不舒服。」護理師的回答，下列何者最適當？",17,{"webId":43,"stem":44,"number":45,"year":46,"session":28},"nurse-112-1-psychiatric-community-031","有關提供老年人睡眠問題的護理指導，下列何者錯誤？",31,112,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-113-1-psychiatric-community-019","承上題，廖奶奶經醫師建議入院治療，有關各項治療的敘述，下列何者最適當？",19,113,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-114-2-psychiatric-community-023","美美是 8 年級學生，和同學吵架後，遭到集體圍剿，同學不斷用「婊」、「賤人」叫她，還罵她「當狗也不配」。護理師協助美美進行危機處置時，下列技巧何者不適宜？",23,114,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-106-1-psychiatric-community-017","入院後，丁小姐顯得注意力分散、忙碌、話多、活動量大、進食量少，護理師最優先考慮的護理目標為何？",106,"2026-09-04",1788510731216]