[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":61},"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-017","nurse-112-1-psychiatric-community-017",112,1,17,"陳先生，診斷為雙相情緒障礙症，住院期間不斷投書給院長，對病房設施提出許多建議。下列何項護理措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"向院長解釋陳先生的疾病狀況","協助陳先生達成所提出的建議","肯定陳先生的投書行為","和陳先生討論，了解其行為","D",null,[],"本題考點在於雙相情緒障礙躁期病人行為的護理處置。病人不斷投書、提出大量建議屬躁期精力旺盛、誇大與過度活躍表現，依治療性溝通原則，先與病人討論、了解其行為背後的想法與需求，才能適當設限與引導，故 D 最適宜。A 向院長解釋涉及隱私且未處理病人本身。B 協助達成所有建議會強化躁期誇大行為。C 一味肯定投書行為同樣可能助長過度活躍，皆不恰當。","躁期照護要點是不對抗、不強化，透過了解與溫和設限來疏導過剩精力。與病人討論屬同理與評估的第一步，可辨識需求並協商合理表達方式。過度肯定或全盤配合都會餵養誇大與衝動,與前面設限題邏輯一致。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"雙相情緒障礙",3,{"term":31,"count":32},"設限",2,{"term":34,"count":10},"躁期",[36,40,44,48,52,57],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-psychiatric-community-018","有關思覺失調症病人之負性精神症狀，下列何者最適切？",18,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-112-2-psychiatric-community-034","江先生為思覺失調症病人，出院返家後，常干擾社區居民，但不至於傷害他人，家屬表示病人不願意配合服藥與規律返診，照顧困難。依此情境，最適合提供江先生下列何種精神醫療服務？",34,{"webId":45,"stem":46,"number":47,"year":9,"session":29},"nurse-112-3-psychiatric-community-048","王女士，76 歲，被診斷為糖尿病，空腹血糖值為 250 mg\u002FdL，主訴定期回診接受治療。社區護理師對於王女士之照護措施，下列何項最不適當？",48,{"webId":49,"stem":50,"number":26,"year":51,"session":10},"nurse-114-1-psychiatric-community-046","根據全民健康保險規定，可接受安寧緩和醫療照護之末期病人的主要支付診斷條件，下列何者最不適當？",114,{"webId":53,"stem":54,"number":55,"year":56,"session":32},"nurse-115-2-psychiatric-community-050","有關慢性腎臟病飲食衛教指導，下列何者最不適當？",50,115,{"webId":58,"stem":59,"number":43,"year":60,"session":10},"nurse-107-1-psychiatric-community-034","有關「去機構化運動」之敘述，下列何者正確？",107,"2026-09-04",1788510743291]