[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-112-1-精神科與社區衛生護理學-015","nurse-112-1-psychiatric-community-015",112,1,15,"陳先生診斷為思覺失調症，有嚴重幻聽干擾，時而聽見有人在稱讚他，時而又在指責他，導致他情緒起伏不定，因而多數時間都獨自躺床與幻聽對話。下列何項護理措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"提供病人耳塞，讓他聽不到幻聽就好","傾聽病人描述及比較幻聽的內容與改變","每天更換不同護理師，提供不同刺激轉移他的注意力","提供單人房，以免他的對話干擾到其他病人","B",null,[],"本題考點在於思覺失調症幻聽病人的護理處置。依現實導向與治療性溝通原則，傾聽病人描述並比較幻聽內容的變化，可評估症狀的頻率、強度與觸發因素，建立信任並協助其分辨現實，故 B 最適宜。A 提供耳塞是逃避性、無法處理幻聽本質。C 每天更換護理師破壞治療關係的連續性與信任。D 提供單人房易使病人更退縮孤立、增加沉浸於幻聽的時間，皆不利病情。","幻聽護理核心是不否定也不強化，透過傾聽了解內容以評估自傷傷人風險與病程變化，並引導病人以現實活動轉移注意。護病關係連續性是精神科照護根本,頻換人員屬大忌。單獨隔離會加重社會退縮。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"思覺失調症",17,{"term":31,"count":32},"幻聽護理",3,{"term":34,"count":35},"護病關係",2,[37,41,45,48,53,58],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-1-psychiatric-community-016","趙女士，身高 165 公分，診斷為憂鬱症，近 2 週食慾不佳，每餐只喝少許果汁，體重從 55 公斤降至 45 公斤。依據上述症狀，何者為最適宜的護理診斷？",16,{"webId":42,"stem":43,"number":44,"year":9,"session":35},"nurse-112-2-psychiatric-community-032","關於譫妄及失智症，下列敘述何者最適切？",32,{"webId":46,"stem":47,"number":26,"year":9,"session":32},"nurse-112-3-psychiatric-community-046","有關居家護理師之角色與功能之敘述，下列何者錯誤？",{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-psychiatric-community-044","有關校園霸凌之敘述，下列何者最適當？①個人或集體持續以語言、肢體動作或網路等直接對他人故意欺負或戲弄之行為   ②成績優秀者最不容易成為被霸凌的對象     ③長期遭受霸凌者可能出現反擊行為再去霸凌比自己弱勢的人    ④網路霸凌須有重複性，至少要有二次才算",44,114,{"webId":54,"stem":55,"number":56,"year":57,"session":35},"nurse-115-2-psychiatric-community-048","曾先生為失智症個案，可自主活動，主要照顧者為媳婦，曾接受過照顧服務員訓練，照顧個案達 3 年，家人希望由自己人照顧，但媳婦身心疲憊，期待可以休息旅遊；也表示獨自照顧的孤單感受。下列那些服務項目最適合提供給照顧者？①轉介安養機構資訊 ②指導照護技巧 ③喘息服務資訊 ④情緒支持",48,115,{"webId":59,"stem":60,"number":44,"year":61,"session":10},"nurse-107-1-psychiatric-community-032","下列關於治療注意力不足／過動症藥物 methylphenidate（Ritalin ® ）的描述，何者正確？",107,"2026-09-04",1788510743266]