[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-036":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-036","nurse-111-1-psychiatric-community-036",111,1,36,"照顧精神護理之家的失智症住民，下列何項護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"協助發揮其尚存的優勢和能力","與聽力障礙的住民互動時，只能提高音量、大聲說話","當住民有視、聽幻覺時，宜忽略此症狀","避免跌倒發生，不宜安排活動","A",null,[],"本題考點在失智症住民的照護原則。依失智症照護理念，應以優勢為基礎（strength-based），協助住民發揮尚存的能力以維持自尊與功能，故選 A。考點在於辨識『維持既存功能、依個別需求調整互動』。B 對聽障住民「只能提高音量、大聲說話」過於絕對，應同時運用面對面、放慢語速、輔具與非語言溝通，非單一大聲；C 對視、聽幻覺一律「忽略」不妥，應評估其安全與情緒、適度同理與轉移，忽略可能錯失危險徵兆；D 為避免跌倒而「不安排活動」會導致廢用與功能退化，應在安全評估下維持適度活動。故選 A。","失智照護的『以人為本（person-centred care）』強調看見住民『還能做什麼』而非只看失能，透過保留其熟悉角色與能力提升自我價值與行為穩定。過度保護（不活動、全代勞）反加速失能並增加行為問題。感官障礙者需多元溝通策略；幻覺處置採評估—同理—轉移—確保安全。口訣：『發揮優勢、適度活動、多元溝通、幻覺不硬駁』。",[24,27,29,31,33],{"term":25,"count":26},"維持既存功能",2,{"term":28,"count":10},"以人為本照護",{"term":30,"count":10},"優勢基礎照護",{"term":32,"count":10},"失智幻覺處置",{"term":34,"count":10},"避免廢用症候群",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-psychiatric-community-037","對保護室內病人採取約束處置時，密切觀察的主要項目，不包含下列何項？",37,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-psychiatric-community-053","有關評估社區民眾需求與互動方式的資料，下列何者較不適當？",53,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-067","有關優生保健護理指導，下列何者最適宜？①提醒應定期產檢，並說明目前補助的產前檢查內容 ②孕期第 3 個月前應完成德國麻疹疫苗接種 ③34 歲以上高齡孕婦建議接受羊膜穿刺檢查以診斷胎兒是否有唐氏症 ④應於孕期第 3 個月前接受甲型鏈球菌的篩檢",67,112,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-113-2-psychiatric-community-005","有關恐慌症的敘述，下列何者最適切？",5,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-psychiatric-community-009","有關創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適當？",9,114,3,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-psychiatric-community-053","社區評估時收集人口組成，並繪製成人口結構圖，可以提供何種訊息？",106,"2026-09-04",1788510736493]