[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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":27},"nurse-111-2-基本護理學與護理行政-014","nurse-111-2-fundamental-nursing-014",111,2,14,"有關護理評值的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"在查看擬定之成果目標是否已達成","評估護理活動執行後，病人的行為反應","護理師需依護理評值結果修訂護理診斷","是護理過程的最後一個步驟","D",null,[],"本題考點是護理過程中『評值(evaluation)』的性質,屬選『錯誤』題。A查看擬定的成果目標是否達成、B評估護理活動執行後病人的行為反應、C依評值結果修訂護理診斷,皆正確描述評值的功能。D『評值是護理過程的最後一個步驟』為錯誤敘述:護理過程是動態、循環的,評值後會回饋到重新評估與修訂診斷、計畫(正呼應C所說的『依評值修訂診斷』),因此評值並非真正的終點,而是持續循環的一環,故選D。","護理過程五步驟:評估(assessment)→診斷(diagnosis)→計畫(planning)→執行(implementation)→評值(evaluation),雖然評值排在流程序列末位,但整體是一個持續回饋的循環(cyclic\u002Fdynamic):評值若發現目標未達成,便回頭修正評估資料、護理診斷與計畫,再執行、再評值。本題的陷阱正在於『順序上的最後』與『流程真正結束』兩個概念的落差——把評值當成『做完就結束的終點』忽略了其回饋修訂功能,故被判為錯誤。理解此循環性,也能同時解釋為何C『依評值修訂診斷』是正確的。",[25,28,31,33],{"term":26,"count":27},"護理過程五步驟",5,{"term":29,"count":30},"評值(evaluation)功能",1,{"term":32,"count":30},"護理過程循環性",{"term":34,"count":30},"回饋修訂診斷",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-fundamental-nursing-015","護理師依照醫囑給予病人 Inteban 1 # Supp. St.退燒時，下列敘述何者正確？",15,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-112-1-fundamental-nursing-031","下列那些物質是糞便正常的成分？①脂肪 ②膽紅素 ③鈣、磷 ④剝落的死菌 ⑤紅血球",31,112,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-112-2-fundamental-nursing-045","病患接受 650 mOsm\u002FkgH 2 O 管灌配方，以 60c.c.\u002F小時連續灌食法提供營養後，開始出現腹瀉，下列何者為改善腹瀉的合宜措施？",45,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-113-3-fundamental-nursing-013","病人行腹腔鏡膽囊切除術，醫囑開立術後 6 小時可進食清流飲食（clear liquid diet），下列何項為可食用的飲食選擇？",13,113,3,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-115-1-fundamental-nursing-017","有關輸血注意事項，下列敘述何者正確？①每單位血品最好在2小時內輸完              ②可應用輸血加壓器來協助輸血（壓力＞300 mmHg）    ③使用輸血加溫器，溫度以38℃～40℃為原則        ④最初15分，滴速宜維持20～40 gtt\u002Fmin",17,115,{"webId":61,"stem":62,"number":43,"year":63,"session":11},"nurse-106-2-fundamental-nursing-031","有關教導臨床病人預防便秘的護理措施，下列何者錯誤？",106,"2026-09-04",1788510737585]