[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-112-1-基本護理學與護理行政-014","nurse-112-1-fundamental-nursing-014",112,1,14,"護理診斷及其導因之書寫，下列敘述那些正確？①潛在危險性皮膚完整性受損／脊髓損傷 ②不遵從（高血壓服藥）／缺乏護理指導 ③口腔黏膜改變／因化療抵抗力低 ④睡眠型態紊亂／因治療造成不適",{"A":15,"B":16,"C":17,"D":18},"①②","③④","①③","②④","B",null,[],"本題考點在護理診斷「問題／導因」書寫的正確配對。考點在於導因（相關因素）須為可經護理措施改善、且與問題有邏輯關聯者。③口腔黏膜改變導因於「化療致抵抗力低」與④睡眠型態紊亂導因於「治療造成不適」，問題與導因對應合理，故選 B（③④）。①潛在危險性皮膚完整性受損／脊髓損傷，脊髓損傷屬醫學診斷而非適切導因，且危險性診斷通常不含徵象。②不遵從（高血壓服藥）／缺乏護理指導，將問題歸咎於護理指導不足，把責任錯置且導因不當。錯誤配對 A、C、D 皆含①或②這類導因不適切的組合。","導因書寫原則：須為護理可獨立處置的相關因素，避免以醫學診斷（如脊髓損傷、化療本身）直接當導因，也避免歸責醫護。潛在危險性診斷因問題尚未發生，僅列危險因子、無定義性特徵（S）。書寫用「問題 R\u002FT（related to）導因」格式，導因要能導向護理措施。",[25,27,29,31],{"term":26,"count":11},"護理診斷導因",{"term":28,"count":11},"相關因素書寫",{"term":30,"count":11},"危險性診斷",{"term":32,"count":11},"R\u002FT格式",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-fundamental-nursing-015","護理師依醫囑給予劉先生 Cefazolin 1000 mg q12h I.V. drip，應於何時執行備藥的第二讀？",15,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-2-fundamental-nursing-031","病人解出黏液便，下列護理師的解釋何者較為適當？",31,2,{"webId":44,"stem":45,"number":46,"year":10,"session":47},"nurse-112-3-fundamental-nursing-045","Benner 於 1984 年根據技能發展模式（Dreyfus Model of Skill Acquisition），將學習歷程分為五個階段。下列順序何者正確？",45,3,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-fundamental-nursing-043","有關集權式組織的優點，下列敘述何者正確？",43,114,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-115-2-fundamental-nursing-047","下列那一項為第四類傳染病且需 1 個月內通報，且死亡後的遺體不得深埋，火化溫度需達 1,000 度且持續 30 分鐘？",47,115,{"webId":59,"stem":60,"number":41,"year":61,"session":11},"nurse-107-1-fundamental-nursing-031","下列何者為腸阻塞個案灌腸時較適當的姿勢？",107,"2026-09-04",1788510741044]