[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-074":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-074","nurse-111-2-psychiatric-community-074",111,2,74,"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",{"A":14,"B":15,"C":16,"D":17},"①②⑤","②③④","②③⑤","③④⑤","C",null,[],"本題考點在於長照資源與家庭照顧者需求的對應。情境是四肢癱瘓者返家、浴室狹小、主要照顧者妻子疲憊，考點在於辨識「同時支持個案復健與紓解照顧者負荷」的組合。依長照2.0服務分類，②復健訓練維持個案殘存功能、③喘息服務讓照顧者獲得暫時休息以紓解疲憊、⑤居家無障礙改善正對應浴室狹小的環境障礙，三者兼顧個案與照顧者，故選C（②③⑤）。①日間照顧較適用於需社會參與、非四肢癱瘓臥床且照顧者白天有工作者，與本情境重點不符；④安養中心收住的是生活可自理長者，四肢癱瘓者需求層級不符，且與家屬持續居家照顧的意願衝突；含①或④的A、B、D組合因此都不完整或不適當。","口訣：照顧者負荷重先想「喘息服務」，環境障礙先想「無障礙改善」，個案功能維持先想「復健」。長照2.0四包錢中喘息屬支持家庭照顧者項目；安養機構vs養護vs長照機構收住對象不同，安養收自理長者、養護收無技術性護理需求者，四肢癱瘓多需護理之家層級。",[24,27,30,33],{"term":25,"count":26},"喘息服務",7,{"term":28,"count":29},"家庭照顧者支持",4,{"term":31,"count":32},"長照2.0服務項目",1,{"term":34,"count":32},"居家無障礙改善",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-psychiatric-community-075","承上題，林太太所需的支持性服務，下列何者最不適當？",75,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-2-psychiatric-community-011","治療過程中，治療者提供無條件正向關懷與接納，強調人類成長和自我實現的潛能，此為下列那一種治療法？",11,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-3-psychiatric-community-025","林先生，60 歲，罹患思覺失調症已 40 年，目前無明顯精神症狀，自我照顧功能下降需他人協助生活照顧，無其他家人可協助照料。依林先生之狀況，最適合安排下列何種精神醫療資源？",25,3,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-114-1-psychiatric-community-023","楊太太擔心自己罹患大腸癌，經多次檢查皆正常，但她仍深信自己不久人世，變得無食慾、失眠，有輕生念頭。下列何項為最優先的護理措施？",23,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-115-2-psychiatric-community-027","有關衛生福利部的各機關（構）、單位業務職掌之敘述，下列何者正確？",27,115,{"webId":61,"stem":62,"number":43,"year":63,"session":32},"nurse-107-1-psychiatric-community-011","護理師提供病人以任務為導向的「認知行為治療」，針對「認知行為治療」之相關陳述，下列何項正確？①著重於處理此時此刻的問題 ②強調兒童早期發展階段的問題 ③協助克服日常生活中適應不良的困難 ④引導病人調整想法和行為",107,"2026-09-04",1788510740402]