[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-021","nurse-111-2-psychiatric-community-021",111,2,21,"葛先生，診斷為雙相情緒障礙症，入院第三天，在入院期間常常在大廳走動，很容易與其他病友起口角或衝突，經醫療團隊討論後決定給予葛先生執行隔離措施，對隔離措施的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"減少感覺輸入，減少外界過多的刺激","是一種行為治療法，藉以約束葛先生的行為，以減少與他人之衝突","隔離措施沒有程度上的差別","是一種控制手段，以維護病房的安寧","A",null,[],"本題考點是隔離措施的治療性目的。依精神科治療性環境原理,隔離(seclusion)的本質是減少感覺輸入、降低外界過多刺激,協助病人恢復自我控制並保護病人與他人安全,是治療性措施而非懲罰,故 A 正確。B 錯在隔離不是行為治療法,行為治療指系統減敏感法、代幣制度等以學習原理改變行為的方法,隔離的目的是降低刺激與維護安全,不是用來「約束行為」。C 錯在隔離有程度上的差別,依限制程度可分為不上鎖的單獨安置至上鎖的隔離室等不同層級。D 錯在隔離絕不可作為控制手段或為維護病房安寧的懲罰工具,違反治療性原則與病人權益。","隔離與約束的共同大原則:最後手段、最小限制、限時執行、須醫囑、密切觀察生命徵象與身心狀態、事後與病人討論(debriefing)。躁症病人對刺激的反應性增高,環境刺激愈多症狀愈惡化,故降低刺激(單人房、光線柔和、減少噪音)是躁症護理核心,隔離正是此原理的延伸。對比記憶:「隔離=減刺激、保安全;約束=限制身體活動」,兩者都不是懲罰,凡選項出現「控制、懲罰、維護秩序」字眼即為錯誤敘述。",[24,27,30,33],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":29},"治療性環境",7,{"term":31,"count":32},"隔離措施治療性目的",1,{"term":34,"count":32},"躁症刺激控制原則",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-psychiatric-community-022","有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者錯誤？",22,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-psychiatric-community-038","有關社區中慢性精神病人罹患代謝症候群的生理健康監測，不包括下列何者？",38,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-psychiatric-community-052","Anderson 與 McFarlane（2019）社區夥伴評估模式具有下列那些特徵？①專業主導 ②與社區平等互惠 ③由下而上匯集民眾需求 ④需與政策配合 ⑤喚起社區意識",52,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-113-3-psychiatric-community-020","洪小弟，6 歲，一年多來出現不自主的眨眼睛、裝鬼臉或聳肩膀，會發出「哼、哼、哼」的聲音。洪小弟的狀況最可能是下列那個問題？",20,113,3,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-115-1-psychiatric-community-024","提供精神病人出院回歸社區的照護，下列敘述何者最適切？",24,115,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-2-psychiatric-community-038","張先生 70 歲，獨居，因為面臨居住幾十年的違章建築要被拆除，張先生一直以死抗議，這天因為表示要自焚，被鄰居送來精神科病房住院進行自殺防範，關於自殺防範護理措施，下列何者最適宜？",106,"2026-09-04",1788510739902]