[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-035","nurse-112-1-psychiatric-community-035",112,1,35,"護理師對病人執行身體約束處置時，應注意下列那些事項？①口水多的病人，應維持側躺 ②約束超過 2 小時應為病人翻身 ③若約束前注射 Haloperidol，應密切觀察血壓變化 ④病人通常抗拒約束，不一定要說明約束的原因 ⑤約束後應讓病人休息，不宜再與個案會談",{"A":14,"B":15,"C":16,"D":17},"①②③","①③⑤","②③④","②④⑤","A",null,[],"本題考點為身體約束的安全護理原則。依約束照護規範,①口水多者維持側躺可防吸入性風險,正確;②約束每2小時應鬆綁翻身以防壓瘡與循環受損,正確;③Haloperidol屬抗精神病藥,可能引起姿位性低血壓,約束合併給藥須觀察血壓,正確;故①②③組合選A。④不論病人是否抗拒,約束前均須向病人說明原因與目的,以維護知情權,故④錯誤。⑤約束後仍應持續與個案會談、評估情緒與需求,不可停止互動,故⑤錯誤。含④或⑤的選項皆排除。","身體約束的核心倫理是『最小限制、最短時間』並保障尊嚴。抗精神病藥(如Haloperidol)常見錐體外症候群與姿位性低血壓,約束時病人無法自行調整姿勢,血壓監測更形重要。翻身、皮膚評估、肢體循環檢查與定時鬆綁是防併發症四要點。",[24,27,30,32],{"term":25,"count":26},"知情同意",6,{"term":28,"count":29},"Haloperidol",3,{"term":31,"count":10},"身體約束原則",{"term":33,"count":10},"姿位性低血壓",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-psychiatric-community-036","在急診室有關藥物使用障礙症（藥物成癮）最常見的問題，下列敘述何者錯誤？",36,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-2-psychiatric-community-052","Anderson 與 McFarlane（2019）社區夥伴評估模式具有下列那些特徵？①專業主導 ②與社區平等互惠 ③由下而上匯集民眾需求 ④需與政策配合 ⑤喚起社區意識",52,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-psychiatric-community-016","李同學，12歲，對無法停止洗手行為，感到情緒低落並無自信，導致每次不停的洗手，即使手已經破皮仍繼續洗手。護理師建議李同學藉由玩自己最喜歡的小小兵玩具轉移注意力並練習不繼續洗手。此種照護處置是應用下列何種治療技巧？",16,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-2-psychiatric-community-014","思覺失調症病人陳述：「護理師，我聽到我媽媽在廁所說話，聲音吵死了」。下列護理師的回應何者最適當？",14,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-psychiatric-community-018","在病房中，丁小姐常進出男病人之病房，甚至躺在男病人床上，會對新進之實習醫師說：「我做你女朋友好不好？」對於丁小姐上述行為護理師最合宜的反應為：",18,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-1-psychiatric-community-052","有關健康促進的推動，下列何者錯誤？",107,"2026-09-04",1788510743449]