[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-1-精神科與社區衛生護理學-019","nurse-111-1-psychiatric-community-019",111,1,19,"小君，診斷為思覺失調症（Schizophrenia），可規則服藥，在大賣場工作自覺可以勝任，但近來懷疑組長挑剔她，以咳嗽暗示要她辭職。下列何者為目前最主要的護理問題？",{"A":14,"B":15,"C":16,"D":17},"服藥問題","社區民眾的歧視問題","家庭問題","症狀困擾問題","D",null,[],"本題考點為思覺失調症病人現階段最主要護理問題的判斷。小君能規則服藥、勝任工作，但近來懷疑組長以咳嗽暗示要她辭職，此為關係意念與被害性想法的再現，屬精神症狀本身造成的困擾，故最主要護理問題為症狀困擾問題，選 D。A 錯，病人已規則服藥，服藥並非當前主要問題。B 錯，題幹未顯示社區民眾的實際歧視，「組長針對」是病人的主觀解讀而非既存的社會事實。C 錯，情境聚焦於職場與症狀，未涉及家庭衝突，家庭問題證據不足。","護理診斷的優先順序須依「現有資料所支持的實際問題」判定，而非推測。本題病人症狀控制原本穩定，新近出現的關係意念（referential thinking）顯示症狀有再現或加重跡象，是最貼近資料的主要問題。辨別要點：把病人主觀的被害解讀誤認為客觀的社會歧視，是常見的誤選陷阱。後續處置方向即針對症狀辨識與因應（呼應下一題）。可連結思覺失調症的復發徵兆辨識、關係意念與病識感（insight）在復健中的角色。記憶重點：依資料選實際問題，勿把妄想內容當成外在事實。",[24,27,29,31,33],{"term":25,"count":26},"病識感",11,{"term":28,"count":10},"護理診斷優先順序",{"term":30,"count":10},"思覺失調症症狀困擾",{"term":32,"count":10},"關係意念",{"term":34,"count":10},"復發徵兆",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-psychiatric-community-020","承上題，有關提供小君的護理措施，下列何者最適當？",20,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-111-2-psychiatric-community-036","下列何者屬於社區心理衛生工作的初級預防？",36,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-psychiatric-community-050","社區護理師利用敏感度（sensitivity）80%，特異度（specificity）94%的大腸癌篩檢工具，篩檢社區民眾是否罹患大腸癌，下列敘述何者正確？",50,112,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-113-1-psychiatric-community-038","有關醫療廢棄物的處理原則，下列何者最適當？",38,113,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-114-2-psychiatric-community-042","新住民阮氏於兩週前抵達臺灣，不諳國語，懷孕已六週，尚未做產前檢查。有關護理師提供之護理指導，下列何者最不適當？",42,114,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-psychiatric-community-036","王先生，28 歲，診斷為思覺失調症（schizophrenia），在自己患病多年後，同意接受醫師的新藥計畫，嘗試新一型的抗精神病藥物來控制幻聽的干擾，且配合服務，王先生主要採用下列何種復元模式？",106,"2026-09-04",1788510736306]