[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-018","nurse-111-2-psychiatric-community-018",111,2,18,"小菲，18 歲，診斷為思覺失調症。小菲雖有規則服藥，但是幻聽干擾時好時壞。父母打聽可以做電氣痙攣療法，因此詢問護理師的意見，下列何者回答最適當？",{"A":14,"B":15,"C":16,"D":17},"告知須完全聽從醫師的指示","指出電氣痙攣療法的效果不好","說明病人年紀太小不適合","詢問父母對電氣痙攣療法的期望","D",null,[],"本題考點是面對家屬詢問治療選項時的治療性回應。依治療性溝通「開放式探問」與以家庭為中心的照護原則,先詢問父母對電氣痙攣療法的期望,能評估其認知、動機與資訊需求,再據以提供衛教並協助與醫療團隊討論,故 D 最適當。A「完全聽從醫師指示」是權威式回應,剝奪家屬參與醫療決策的權利,違反知情同意精神。B 錯在武斷評價療效:電氣痙攣療法對藥物反應不佳的思覺失調症仍具實證療效,護理師不應妄下「效果不好」的斷言。C 錯在年齡並非電氣痙攣療法的絕對禁忌,青少年經完整評估後仍可能適用,以「年紀太小」回絕是錯誤資訊。","電氣痙攣療法(ECT)適應症:重度憂鬱症(尤其有強烈自殺意念、拒食)、僵直型思覺失調症、藥物治療反應不佳者;無絕對禁忌症,顱內壓升高為相對禁忌中最需注意者。溝通層面的記憶要點:遇到病人或家屬詢問治療意見,標準答題順序是「先評估(探問想法與期望)→再提供正確資訊→協助其參與決策」,凡是直接下結論、替醫師背書或給錯誤資訊的選項都不會是答案。",[24,27,29,31],{"term":25,"count":26},"治療性溝通開放式探問",1,{"term":28,"count":26},"電氣痙攣療法適應症",{"term":30,"count":26},"知情同意與共享決策",{"term":32,"count":26},"家庭參與照護",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-019","王小姐，與男朋友分手後，出現被跟蹤的感覺，身邊沒有人時卻聽到有人跟她說話，害怕到無法外出工作，且上述症狀持續 1 個月以上。依據 DSM-5 診斷準則，下列何者是王小姐最可能的診斷？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-psychiatric-community-035","護理師對病人執行身體約束處置時，應注意下列那些事項？①口水多的病人，應維持側躺 ②約束超過 2 小時應為病人翻身 ③若約束前注射 Haloperidol，應密切觀察血壓變化 ④病人通常抗拒約束，不一定要說明約束的原因 ⑤約束後應讓病人休息，不宜再與個案會談",35,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-049","欲了解一段時間內，某地區人口群體被新診斷出 COVID-19 之比率，是屬於何種生命統計？",49,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-psychiatric-community-017","林同學高中生，近半年常在週末深夜 3～4 點回家，功課一落千丈，精神顯得恍惚、視覺模糊、協調性變差、心跳過速、血壓升高，近來常常夜尿頻繁而求診泌尿科，診斷為物質濫用導致的間質性膀胱炎。林同學最有可能使用下列那種毒品？",17,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-psychiatric-community-021","涂先生，41歲，診斷為雙相情緒障礙症，與病友因口角發生攻擊行為，揚言要致其死，經醫囑予約束隔離30分鐘，有關約束隔離的敘述，下列何者正確？",21,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-psychiatric-community-035","下列何者是全球積極推動「社區心理衛生」的原因？①人們對於精神病人人權問題的重視 ②精神疾病治療模式的改變 ③機構化運動的觀念 ④精神藥物的發明與應用",106,"2026-09-04",1788510739881]