[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"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":11},"nurse-111-1-基本護理學與護理行政-068","nurse-111-1-fundamental-nursing-068",111,1,68,"當醫院發生緊急事件時，為講求時效，需採行下列何種組織結構型態較適宜？",{"A":15,"B":16,"C":17,"D":18},"簡單式結構","功能性結構","集權式結構","扁平式結構","C",null,[],"本題考點在於組織結構型態與情境的適配。醫院發生緊急事件時講求時效,需要指揮命令能快速下達、決策權集中於高層以迅速動員資源,依此需求應採「集權式結構(centralized structure)」,決策集中可避免多頭馬車、加速反應,故選 C。A 簡單式結構雖決策快,但主要適用於小型組織、缺乏正式分工,不足以描述緊急應變的核心特徵;B 功能性結構依專業分部門,溝通須跨部門協調反而較慢;D 扁平式結構強調授權下放、減少層級,雖溝通快但決策權分散,在需統一指揮的緊急情境反不利於一致行動。因此以決策集中、指揮統一為要者選集權式結構。","集權(centralization)vs 分權(decentralization)的取捨關鍵在決策權的位置。緊急、危機、需統一指揮的情境偏好集權(如災難應變指揮體系 ICS);穩定、需快速回應第一線、鼓勵創新的情境偏好分權。此題陷阱在扁平式結構也「溝通快」,但扁平的本質是層級少+授權,決策權分散,和緊急時要求的統一指揮相衝突。記憶:緊急=集權統一指揮;賦能第一線=分權。延伸連結權變理論(結構須配合情境)與危機管理指揮鏈。",[25,26,28,30],{"term":17,"count":11},{"term":27,"count":11},"緊急應變統一指揮",{"term":29,"count":11},"扁平式結構對比",{"term":31,"count":11},"權變適配",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-111-1-fundamental-nursing-069","下列那一項溝通屬於不同層級單位人員間的溝通方式？",69,{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-112-1-fundamental-nursing-005","訪客進出醫院時，使用 75%酒精洗手，此管制感染源的方法為下列何者？",5,112,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-2-fundamental-nursing-019","有關給藥縮寫與其所代表的意義，下列何者正確？",19,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-113-2-fundamental-nursing-037","護理長依護理師工作表現與發展需求，擬定其生涯發展目標，下列敘述何者正確？",37,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-fundamental-nursing-041","有關護理人力彈性運用策略，下列敘述何者最適當？",41,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":46},"nurse-106-2-fundamental-nursing-005","下列那些項目是符合醫療照護相關感染（health-care associated infection; HAI）之定義？①胎兒於出生後 36 小時發現感染梅毒 ②住院注射之靜脈導管部位紅腫熱痛 ③注射化學治療藥物滲漏導致局部發炎 ④闌尾炎住院合併腹膜炎 ⑤手術後二天傷口感染發炎 ⑥因泌尿道感染住院期間培養出新菌種",106,"2026-09-04",1788510734074]