[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-111-1-基本護理學與護理行政-012","nurse-111-1-fundamental-nursing-012",111,1,12,"盧女士行乳房切除術，乏人照料，護理人員親自為其進行床上沐浴時，蒐集到下列資料，何者屬於急性疼痛的主觀資料？",{"A":15,"B":16,"C":17,"D":18},"病人幾乎採平躺，不敢翻身","病人左前胸有一 5×8 公分傷口","病人表情皺眉害怕的樣子","病人表示我好痛好不舒服","D",null,[],"本題考點在於急性疼痛的主觀資料辨識。主觀資料指病人親口陳述、他人無法直接測得者。「病人表示我好痛好不舒服」是病人自述疼痛感受,屬主觀資料,故D為本題答案。A「幾乎平躺不敢翻身」為觀察到的行為,屬客觀。B「左前胸5×8公分傷口」為可測量的客觀資料。C「皺眉害怕的樣子」為觀察到的表情,屬客觀資料。疼痛雖為主觀感受,但只有病人親自陳述那句話才屬主觀資料,故答案為D。","疼痛評估兼具主客觀:主觀為病人自評(如疼痛量表分數的陳述、『我好痛』);客觀為可觀察的疼痛行為(皺眉、防衛姿勢、生命徵象變化)。此題四選項皆與疼痛相關,關鍵在區分『病人說的』(主觀)與『護理師看到\u002F量到的』(客觀)。口訣仍是:出自病人之口即主觀,出自護理師觀察或測量即客觀。",[25,28,30,32],{"term":26,"count":27},"主觀資料",13,{"term":29,"count":11},"急性疼痛評估",{"term":31,"count":11},"病人自述",{"term":33,"count":11},"主客觀資料區分",[35,38,43,48,53,58],{"webId":36,"stem":37,"number":27,"year":10,"session":11},"nurse-111-1-fundamental-nursing-013","林先生因腹部手術後傷口疼痛， 10 分疼痛量表評估為 5 分。護理師依據醫囑給予止痛劑 Acetaminophen （500 mg）1# P.O.，此項活動屬於下列何項護理功能？",{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-111-2-fundamental-nursing-029","有關灌腸時肛管插入的深度及大小的選擇，下列敘述何者正確？",29,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-112-1-fundamental-nursing-043","護理師為謝女士進行營養評估，謝女士出現下列那一項資料表示異常？",43,112,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-113-1-fundamental-nursing-031","病人因車禍骨折，目前右手上石膏固定，為了避免病人的右手肌肉萎縮，應教導病人的患肢做何種運動？",31,113,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-114-2-fundamental-nursing-035","學者古勒羅斯（Kübler-Ross）提出瀕死病人的心理反應五階段：否認期、憤怒期、討價還價期、憂鬱期及接受期等，下列敘述何者正確？",35,114,{"webId":59,"stem":60,"number":41,"year":61,"session":11},"nurse-106-1-fundamental-nursing-029","口腔癌病人，當口腔兩頰潰瘍疼痛時，下列何種漱口水最適合？",106,"2026-09-04",1788510733519]