[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-038":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-038","nurse-111-2-psychiatric-community-038",111,2,38,"陳女士，診斷為思覺失調症，因擅自停藥致病情復發，已入院治療一個月，預計下週辦理出院，有關出院準備的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"要求家屬完全負起監督病人服藥的責任","安排病人接受職業訓練，出院後謀生","教導家屬凡事皆予代勞，以預防病人再度發病","引導病人與家屬了解精神疾病規則服藥的重要性","D",null,[],"本題考點是思覺失調症病人的出院準備服務。個案因擅自停藥導致復發,依復發預防原則,最關鍵的介入是引導病人與家屬共同了解規則服藥對預防復發的重要性,提升病識感與服藥順從度,故 D 最適當。A 錯在要求家屬「完全負起」監督服藥責任,忽略病人自我管理能力的培養,也造成家屬過度負荷,服藥責任應由病人為主、家屬支持。B 錯在職業訓練須依病人功能與復元階段評估安排,且未針對此次復發主因(停藥),非出院準備的優先重點。C 錯在教導家屬凡事代勞會剝奪病人獨立功能、增加依賴與退化,違反精神復健「維持最大自我功能」原則。","出院準備服務(discharge planning)應自入院時即開始,內容含:疾病與藥物衛教、復發前兆辨識(睡眠改變、多疑、退縮常是警訊)、社區資源轉介、回診安排。思覺失調症停藥後一年內復發率高達七成以上,服藥不順從是再住院最主要原因,故衛教核心是「病識感+規則服藥」。家屬衛教的平衡原則:支持而不代勞、監督而不控制,避免高情緒表露互動。長效針劑是改善順從度的藥物策略,常與本考點串聯出題。",[24,27,30,33],{"term":25,"count":26},"出院準備服務",12,{"term":28,"count":29},"病識感",11,{"term":31,"count":32},"服藥順從度與復發預防",1,{"term":34,"count":32},"精神復健自我功能原則",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-psychiatric-community-039","護理人員與精神病人會談時，常用的治療技巧，下列何者正確？①全神貫注地傾聽 ②儘量不要使用「為什麼」的問句 ③運用面質技巧盡速建立護病關係 ④運用澄清的技巧了解病人的想法",39,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-psychiatric-community-055","下列何者屬於家庭情境性危機？①失業 ②事故傷害 ③中頭彩 ④空巢期",55,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-psychiatric-community-069","有關職業衛生護理人員的角色與職責，下列何者最不適當？",69,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-113-3-psychiatric-community-037","有關熱傷害的高危險族群，下列何者最適當？①體重過重者 ②2 歲的幼童 ③65 歲獨居長者 ④運動員",37,113,3,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-115-1-psychiatric-community-041","有關提升原住民慢性病健康照護政策之敘述，下列何者最不適當？",41,115,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-2-psychiatric-community-055","全民健康保險對妊娠第三期（29 週後）孕婦最多給付幾次產前檢查？",106,"2026-09-04",1788510740064]