[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-055":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-055","nurse-112-1-fundamental-nursing-055",112,1,55,"吳爺爺，肺癌合併腦、骨頭多處轉移，骨轉移疼痛目前有 Morphine 10 mg S.C. q4h+p.r.n.使用，臨終階段出現譫妄、躁動不安之情形，案妻詢問醫療人員：「看他這樣很捨不得，可以用點藥讓他休息一下嗎？」醫療人員如何回應較為適宜？",{"A":15,"B":16,"C":17,"D":18},"增加嗎啡用藥或鎮靜劑可能加速病人死亡，不符合倫理","這是臨終可能會有的正常反應，不需要特別處理","若是用藥後緩解了躁動不安但病人也有可能在過程中離世，此有醫師協助自殺之虞","與家人共同討論照護目標，解釋用藥可能產生的效應，再做決定","D",null,[],"本題考點在於臨終病人出現譫妄躁動、家屬要求用藥時的倫理與溝通原則。依安寧療護與雙重效應原則，處理難以緩解的臨終不適可使用鎮靜藥物，其正當做法是與家屬「共同討論照護目標、說明用藥可能效應後再共同決定」，兼顧病人舒適與知情，故正解 D。A 錯誤，適當劑量的嗎啡或鎮靜劑以緩解症狀為目的，符合倫理，不宜片面拒絕；B 錯誤，躁動不安是需評估與處理的痛苦症狀，非可置之不理的「正常反應」；C 錯誤，以緩解症狀為目的、非以致死為目的之姑息鎮靜，不等同協助自殺，此說法混淆倫理界線。唯 D 落實共享決策。","雙重效應原則：行為目的在緩解痛苦（善），縱使可能加速死亡（非意圖之副作用）仍合乎倫理，前提是意圖正當、劑量與症狀相稱。與安樂死或協助自殺（意圖致死）本質不同。姑息鎮靜的核心是共享決策與充分溝通。記法「目的止苦非致死，家屬共決是關鍵」。",[25,27,29,31],{"term":26,"count":11},"雙重效應原則",{"term":28,"count":11},"姑息鎮靜",{"term":30,"count":11},"共享決策",{"term":32,"count":11},"安寧療護倫理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-fundamental-nursing-056","護理師向病患及其家屬說明安寧緩和療護，下列何種情況無法使用健保給付的安寧照護？",56,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-2-fundamental-nursing-072","當醫院護理人力招募不足，占床率卻又居高不下時，護理主管可能會採取下列那一種護理模式？",72,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-113-1-fundamental-nursing-036","有關目標管理，下列敘述何者正確？",36,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-2-fundamental-nursing-034","下列何項血液檢測不須要事先請病人禁食後再抽血？",34,114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-1-fundamental-nursing-038","承上題，下列那些發燒的護理措施不恰當？",38,106,{"webId":59,"stem":60,"number":41,"year":61,"session":11},"nurse-107-1-fundamental-nursing-072","根據 Donabedian（1966）所提出的醫療服務品質概念，護理部定期至病房觀察護理師發藥是否有遵照三讀五對，這屬下列那一種考核？",107,"2026-09-04",1788510741443]