[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-058":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":26},"nurse-111-2-產兒科護理學-058","nurse-111-2-maternal-pediatric-058",111,2,58,"安安，9 歲，因白血病復發病況惡化，常主訴身體疼痛，下列處置何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"告訴安安不要焦慮，要放輕鬆，帶她去遊戲室轉移心情","使用安安可理解的語言與方式，以了解其身體不適的心情","評估安安的疼痛程度、疼痛性質、疼痛持續時間及範圍","協助安安採取舒適臥位，依醫囑給予止痛藥並監測成效","A",null,[],"本題考點為癌症末期兒童疼痛與情緒的護理,答案選較不適當者。考點在於同理與正確疼痛處置優於否定情緒。A 告訴安安「不要焦慮、要放輕鬆」是否定其感受,且僅以帶去遊戲室轉移心情,忽略了病況惡化的真實疼痛與情緒需求,屬較不適當,故選 A。B 以其可理解的語言了解身體不適心情,展現同理與有效溝通,適當;C 完整評估疼痛程度、性質、持續時間與範圍,是疼痛處置的基礎,適當;D 協助採舒適臥位並依醫囑給予止痛藥、監測成效,屬正確的疼痛管理。故較不適當者為 A。","癌末兒童照護核心是承認並回應其感受,而非以「別焦慮」壓抑情緒;疼痛應積極評估與依醫囑控制,不因末期而消極。分散注意力可作輔助,但不能取代同理溝通與藥物止痛。學齡兒童能理解死亡的不可逆,溝通應誠實、貼近其認知。記憶:面對痛與怕,先「聽與評估」,再處置,勿否定情緒。",[24,27,29,31],{"term":25,"count":26},"癌症末期照護",1,{"term":28,"count":26},"疼痛評估與處置",{"term":30,"count":26},"同理溝通",{"term":32,"count":26},"情緒支持",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-059","有關兒童罹患後天免疫缺乏症候群（acquired immune deficiency syndrome）的敘述，下列何者不適當？",59,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-maternal-pediatric-075","小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",75,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-009","陳女士，G 2 P 1 ，陰道內診結果為：「Station：floating」，其代表的意思，下列敘述何者正確？",9,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-1-maternal-pediatric-007","有關待產婦因過度產痛所引起的不良生理變化，下列敘述何者錯誤？",7,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-011","有關第三產程的護理，下列何者錯誤？",11,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-075","有關先天性的氣管食道瘻管（Tracheoesophageal fistula）嬰兒，進行瘻管關閉及食道吻合術後之照護重點，下列敘述何者錯誤？",106,"2026-09-04",1788510739506]