[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-073","nurse-111-2-psychiatric-community-073",111,2,73,"陳先生 75 歲，因腦中風住院，出院時留置鼻胃管及導尿管，並申請全民健康保險居家護理服務。居家護理師對照顧者的指導，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"居家護理師可每月 2 次至家中進行鼻胃管及尿管更換","照顧者需要學習鼻胃管灌食及尿管照護技巧，並每日進行管路清潔與消毒","醫師可每月 1 次至家中診療個案","照顧者如發現陳先生有管路滑脫可致電居家護理所處理","C",null,[],"本題考點在於全民健保居家護理服務的給付頻率規定辨識。依健保居家護理給付，一般個案居家護理師每月訪視以 2 次為原則，而「醫師訪診」規定為「每兩個月 1 次」，題目 C 敘述為「醫師可每月 1 次至家中診療」，與規定頻率不符，故 C 最不適當，為正解。考點在於辨識護理師與醫師訪視頻率之別。A 正確，居家護理師每月可 2 次至家中進行鼻胃管及尿管更換；B 正確，照顧者確實需學習管路灌食與照護技巧並每日執行清潔；D 正確，管路滑脫時照顧者可致電居家護理所協助處理。三者皆符合居家照護指導，唯 C 將醫師訪診頻率誤述為每月一次。","健保居家照護給付原則：居家護理師每月訪視 2 次、醫師每 2 個月訪診 1 次（視病情可調整）。留置鼻胃管每月更換、導尿管（Foley）約每月更換一次並注意感染徵象。照顧者衛教含灌食技巧（灌食前反抽、抬高床頭、避免嗆咳）與管路每日清潔。記憶：護理師「月 2 次」、醫師「兩月 1 次」，別把醫師頻率記成每月。",[24,27,30,32],{"term":25,"count":26},"全民健保",3,{"term":28,"count":29},"居家護理給付",1,{"term":31,"count":29},"訪視頻率",{"term":33,"count":29},"管路照護",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-074","林先生工作中從鷹架跌落，脊椎受傷導致四肢癱瘓，已經從醫院出院返家，其主要照顧者為妻子，且家中浴室狹小，社區護理師發現其妻每天協助擦澡，主訴每天照顧先生感到很疲憊。提供下列長照資源何者較適當？①轉介住日間照顧 ②進行復健訓練 ③轉介使用喘息服務 ④轉介住安養中心 ⑤轉介使用居家無障礙改善服務",74,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-2-psychiatric-community-010","下列何項為 BZD 類抗焦慮藥物？",10,112,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-112-3-psychiatric-community-024","有關社區精神心理衛生目的之敘述，下列何者最不適宜？",24,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-114-1-psychiatric-community-022","對於安置在精神護理之家的病人，下列服務內容何者最適宜？",22,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-psychiatric-community-026","下列何者為現行偏鄉與離島醫療照護之政策？①建構偏鄉數位資訊醫療照護網 ②推動空中轉診為主、在地醫療為輔的政策 ③積極興建醫學中心以保障偏遠地區民眾就醫權益 ④以醫師不動病人動為照護原則",26,115,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-107-1-psychiatric-community-010","邱先生，38 歲，診斷為思覺失調症，入院時，身上發出油垢味，衣服髒亂，家屬表示病人生活都可自理，惟獨洗澡需要催促的情況下可以完成，護理師要求邱先生入院後先整理外觀，下列那一項措施最適宜？",107,"2026-09-04",1788510740378]