[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-111-2-精神科與社區衛生護理學-016","nurse-111-2-psychiatric-community-016",111,2,16,"張太太，58 歲，診斷為憂鬱症，入院第三天，整天躺床，覺得焦慮不安、精神不集中且常常哭泣，對病房活動沒有參與動機，下列何者照護措施較適當？",{"A":14,"B":15,"C":16,"D":17},"安排在走廊最後一間的房間，以避免過多人走動而干擾病人的休息","選擇競爭性活動以增進病人的生存動機","接受病人宣洩抑鬱情緒的表達方式","安排白天參與需要耗費體力的活動","C",null,[],"本題考點是憂鬱症急性期的治療性護理措施。依治療性人際關係中「接納(acceptance)」原則,憂鬱病人的哭泣是抑鬱情緒的宣洩管道,護理人員接受其表達方式、陪伴並允許情緒流露,有助建立信任與情緒疏通,故 C 正確。A 錯在把病人安排於走廊最末間會增加孤立感,且憂鬱症病人有自殺風險,遠離護理站不利觀察,違反安全原則。B 錯在競爭性活動易帶來挫敗感,依憂鬱病人活動安排原則應選擇簡單、非競爭性、易完成的活動以累積成就感。D 錯在憂鬱症病人精力與動機低落,耗費體力的活動超出其負荷,應由簡短、低耗能活動漸進。","憂鬱症護理三大主軸:安全(自殺防範,病室近護理站、移除危險物)、接納陪伴(允許哭泣、沉默的陪伴也是治療)、活動漸進(簡單→複雜、個別→團體、非競爭性)。特別注意:憂鬱症狀開始改善、精力恢復時反而是自殺高風險期,因病人此時「有力氣執行自殺計畫」。與躁症對比:躁症選單獨、非競爭、消耗體力的活動(如撕紙、擦地)以宣洩過剩精力,兩者活動原則常互為考點。",[24,27,30,32],{"term":25,"count":26},"自殺風險評估",7,{"term":28,"count":29},"憂鬱症急性期護理",1,{"term":31,"count":29},"治療性人際關係之接納",{"term":33,"count":29},"活動治療安排原則",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-017","楊小姐，52 歲，診斷為憂鬱症，向護理師抱怨：「請你告訴醫生吃藥讓我非常不舒服。」護理師的回答，下列何者最適當？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-psychiatric-community-033","有關災難照護中資源保護理論，下列敘述何者最適宜？",33,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-047","依據三段五級預防模式，下列何者屬於 COVID-19 防治之特殊保護措施？①利用快篩發現個案 ②實施疫苗注射 ③確診者早期接受治療 ④戴口罩 ⑤患者出院後追蹤管理",47,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-psychiatric-community-015","畏避型人格障礙症（avoidant personality disorder）臨床特徵的敘述，下列何者最適切？",15,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-psychiatric-community-019","小華的媽媽抱怨，小華很聰明、人緣好，但就是認字很差，文章表達不清楚。下列何項是小華最可能出現的診斷？",19,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-psychiatric-community-033","有關自殺的敘述，下列何者錯誤？",106,"2026-09-04",1788510739871]