[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-063","nurse-111-1-psychiatric-community-063",111,1,63,"張老先生患有失智症，因他有隨地大小便，且有誤食之問題。基於安全考量，社區護理師應優先建議家屬使用下列何項措施？",{"A":14,"B":15,"C":16,"D":17},"將張老先生送至失智症專門照顧機構","儘量將危險物品收起","儘量為張老先生包尿片","訓練張老先生按時如廁","B",null,[],"本題考點是失智症居家安全的優先照護措施。依失智症照護原則，面對有隨地大小便及誤食風險的個案，應先從「改造環境、降低危害」著手，將危險物品（清潔劑、藥物、尖銳或可誤食物品）收妥，以最少限制方式維護安全，故選 B。A 送機構屬最後手段，違反在地老化與最少限制原則，非優先。C 一律包尿片會剝奪殘存自理能力、易致皮膚破損與尊嚴受損，非首選。D 訓練按時如廁對已有明顯認知退化的失智者成效有限、緩不濟急，無法立即化解誤食等安全威脅。因此以環境安全調整為優先。","失智照護遵循「最少限制」與「環境改造優先」原則：先調整環境（移除危險物、加裝安全裝置、簡化空間、明顯標示）再考慮行為訓練，最後才是機構安置。誤食（pica 或辨識障礙）與遊走、隨處便溺屬安全型問題行為，處理層級以「降低環境危害」立即見效且不侵犯自主。包尿片屬過度保護，可能加速失能並引發激動行為；如廁訓練對中重度個案因程序記憶與執行功能受損難以奏效。可連結失智非藥物處置的「ABC 行為分析」與失智友善環境設計（對比色、動線清晰、危險區上鎖），核心價值是安全與尊嚴並重。",[24,27,29,31],{"term":25,"count":26},"最少限制原則",7,{"term":28,"count":10},"失智症居家安全",{"term":30,"count":10},"環境改造優先",{"term":32,"count":10},"誤食與遊走行為處置",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-psychiatric-community-064","依杜瓦爾（Duvall）的家庭發展階段理論，下列敘述何者正確？",64,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-psychiatric-community-080","有關中老年慢性病個案管理的目標，下列何者最不適當？",80,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-112-2-psychiatric-community-014","個別心理治療的主要目的與原則，適當的措施包括下列那些項目？①鼓勵病人自我表露 ②修正阻礙改變的阻力 ③協助了解疾病診斷 ④提供社區就業資訊",14,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-psychiatric-community-032","有關決定社區護理診斷排序的考量因素，下列何者最不適當？",32,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-psychiatric-community-036","護理師培訓社區當地戒菸種子以強化校園周遭商店不得販賣菸品予未滿 18 歲青少年之宣導，此符合渥太華健康促進憲章何項行動綱領？",36,114,3,{"webId":60,"stem":61,"number":41,"year":62,"session":10},"nurse-106-1-psychiatric-community-080","教導兒童學習胰島素注射，讓其反覆練習注射技巧，是屬於何項教學原則？",106,"2026-09-04",1788510736757]