[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-037","nurse-111-1-psychiatric-community-037",111,1,37,"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？",{"A":14,"B":15,"C":16,"D":17},"是否有娛樂設施","病人的言行反應","個人的生理需求","脈搏及呼吸","A",null,[],"本題考點在保護室約束病人的觀察重點，屬「找不包含」題。依約束照護規範，密切觀察重點在於病人的安全與生理狀態，包括生命徵象、肢體循環、言行反應與個人生理需求（如進食、如廁、翻身）；而「是否有娛樂設施」與約束期間的安全監測無關，非觀察重點，故選 A。考點在於辨識約束觀察聚焦於安全與生理。B 病人言行反應用以評估躁動與可否解除約束，屬重點；C 個人生理需求須定時協助，屬重點；D 脈搏及呼吸為生命徵象監測，屬重點。故不包含者為 A。","身體約束屬高風險限制性措施，遵『最少限制、定時評估、儘早解除』原則。監測項目包含：生命徵象、被約束肢體末梢血循與膚色（防壓迫缺血）、皮膚完整性、水分與營養、排泄、體位變換（防壓瘡與吸入）、以及情緒行為（判斷可否解除）。並須定時記錄與依規定重新開立醫囑。娛樂設施屬環境舒適層面，非安全監測核心。口訣：『約束看安全——生命徵象、循環、皮膚、生理需求、行為』。",[24,27,30,32,34],{"term":25,"count":26},"最少限制原則",7,{"term":28,"count":29},"身體約束照護",2,{"term":31,"count":29},"生命徵象監測",{"term":33,"count":10},"肢體末梢循環",{"term":35,"count":10},"定時評估解除",[37,41,45,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-psychiatric-community-038","王小姐，45 歲，體重適中，是居住在社區的思覺失調症病人，因服用抗精神病藥物 clozapine，之後發現有代謝症候群。下列敘述何者最適當？",38,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-111-2-psychiatric-community-054","進行社區評估資料收集時，下列資料，何者無法從各鄉鎮區公所的戶政系統取得？",54,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-psychiatric-community-068","設置免費注射器與回收盒及保險套供應箱，是屬於三段五級預防的那一層次？",68,112,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-113-2-psychiatric-community-006","吳先生，25 歲，唸高中時出現幻聽、被害妄想，開始接受精神科治療，近三個月自行減藥，症狀越來越嚴重，他告訴護理師：「我知道我有精神病，我知道我的病吃藥可以改善，但我就是不想吃那麼多藥。」這是屬於何種病識感？",6,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-psychiatric-community-010","有關解離性失憶症（dissociative amnesia）的護理措施，下列何者最適當？",10,114,3,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-1-psychiatric-community-054","下列造成職業危害的原因，何者與個人因素有關？",106,"2026-09-04",1788510736498]