[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-072","nurse-112-1-psychiatric-community-072",112,1,72,"王老先生因為失能遷居入住護理之家，關於遷移壓力症候群之照護措施，下列敘述何者較不適宜？",{"A":14,"B":15,"C":16,"D":17},"每日安排不同照顧者，增加適應性","提供入住護理之家前之準備","鼓勵家人、親友經常探望","提供日常生活活動選擇，增加自主性","A",null,[],"本題考點在於遷移壓力症候群（relocation stress syndrome）的照護原則，屬反向題，須找出最不適宜者。此症候群指個案因環境轉換而出現焦慮、混亂、退縮等身心反應，照護核心在於提供「熟悉、穩定與可預測」的環境以降低陌生感，因此每日安排不同照顧者會不斷變動照護關係、加重不安與適應困難，錯誤敘述為A，故選A。B入住前的預備、C鼓勵親友探望維繫熟悉支持、D提供日常選擇以增自主性，皆能提升穩定感與掌控感、緩解遷移壓力，屬適宜措施，故排除。","遷移壓力症候群好發於長者遷入機構初期，表現含睡眠障礙、定向感混亂、退縮或憤怒。介入原則可歸納為「熟悉—連續—自主」：保留個人物品營造熟悉感、固定照顧者維持照護連續性、保留生活選擇權提升控制感。固定專責照顧者是關鍵，與本題A的「每日換人」恰恰相反。記憶重點：凡選項造成環境或人員頻繁變動者多為錯誤。可連結老人適應障礙與環境改造（環境支持理論）一併複習。",[24,27,29,31],{"term":25,"count":26},"照護連續性",4,{"term":28,"count":10},"遷移壓力症候群",{"term":30,"count":10},"熟悉穩定環境",{"term":32,"count":10},"老人機構適應",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-psychiatric-community-073","有關長期照護需求評估工具之敘述，下列何者較不適宜？",73,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-psychiatric-community-009","有關電氣痙攣療法（ECT）的敘述，下列何者正確？",9,3,{"webId":44,"stem":45,"number":42,"year":46,"session":47},"nurse-113-2-psychiatric-community-003","李小姐，診斷為思覺失調症，主治醫師告知下星期要安排她出院返家，不料她面有難色，靜坐在大廳半小時。下列護理措施何者最適切？",113,2,{"webId":49,"stem":50,"number":10,"year":51,"session":42},"nurse-114-3-psychiatric-community-001","有關新興影響精神物質（new psychoactive substances, NPS），下列敘述何者最不適當？",114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-psychiatric-community-055","有關世界衛生組織（WHO）的描述，下列何者錯誤？",55,106,{"webId":58,"stem":59,"number":41,"year":60,"session":47},"nurse-107-2-psychiatric-community-009","團體治療過程中張先生和史先生因意見不合而互相爭執，張先生因此憤而離開團體，使團體瀰漫著不安的氣氛，團體治療者的處置，下列何者正確？①中斷團體的進行安撫史先生 ②強調成員應遵守團體規範 ③允許害怕的成員暫時離開團體 ④鼓勵成員表達此時的感受",107,"2026-09-04",1788510743780]