[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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":10},"nurse-111-2-產兒科護理學-047","nurse-111-2-maternal-pediatric-047",111,2,47,"小玲，8 歲，住院期間常抱怨因右手打點滴無法自己吃飯及畫畫、不願意打針及吃藥，護理師協助小玲增進其「自我控制感」的護理措施，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"讓小玲表達及討論可以參與治療的方式","在小玲的同意下讓小玲的同學來院陪伴","跟小玲聊聊她喜歡的卡通以轉移注意力","請小玲的主要照顧者留在病房內陪伴","A",null,[],"本題考點為學齡兒童住院時增進「自我控制感」的護理措施。考點在於學齡期心理社會發展需求。依 Erikson 發展理論,學齡期發展任務為勤奮進取,重視自主參與與掌控感;讓小玲表達並討論可參與治療的方式,能給予選擇與掌控,直接提升自我控制感,故選 A。B 同學來院陪伴屬社交支持,非強化自我控制;C 聊卡通轉移注意力屬分散注意力法,目的在減痛而非增進控制感;D 主要照顧者留院陪伴屬提供安全感與減少分離焦慮,亦非自我控制感的核心措施。故最適當者為 A。","住院兒童常因失去日常掌控而焦慮,提升控制感的策略是提供「有限度的選擇」,如讓其決定先量哪隻手、選擇貼布顏色、參與照護時程。對應 Erikson 學齡期「勤奮 vs. 自卑」,參與感能維持勝任與自尊。記憶:自我控制感=給選擇、可參與;分散注意力與陪伴是不同目標的措施。",[24,26,29,31],{"term":25,"count":10},"自我控制感",{"term":27,"count":28},"Erikson學齡期發展",1,{"term":30,"count":28},"住院兒童",{"term":32,"count":28},"參與治療決策",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-048","有關執行兒童生命徵象的測量，下列敘述何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-maternal-pediatric-064","母親懷孕早期感染下列何種疾病，易導致新生兒罹患先天性心臟病？",64,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-078","兒童罹患雷氏症候群（Reye’s Syndrome）常會有複雜性合併症產生，有關其病因和症狀，下列敘述何者正確？",78,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-046","有關排尿性膀胱尿道攝影（voiding cystoureterography,VCUG）的敘述，下列何者最適當？",46,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-115-1-maternal-pediatric-050","有關腦性麻痺兒童之敘述，下列何者錯誤？",50,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-064","凱凱，5 歲，罹患法洛氏四重畸形（tetralogy of fallot;TOF），常出現有缺氧發作（blue spells），有關缺氧發作的臨床表徵，不包括下列何者？",106,"2026-09-04",1788510739413]