[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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":27},"nurse-112-2-基本護理學與護理行政-054","nurse-112-2-fundamental-nursing-054",112,2,54,"楊先生為境外移入個案，確診為 COVID-19 新冠病毒染疫病人，住在負壓隔離病房。過去與家人關係緊密，某日病人因病情每況愈下瀕臨死亡，有關楊先生之臨終照護，下列何者較為適切？",{"A":15,"B":16,"C":17,"D":18},"家屬可能為潛在複雜性哀傷族群，宜轉介醫療專業團隊提供協助","因應感控措施，須避免家屬與病人任何形式之接觸","因屬傳染疾患，故不適用緩和性鎮靜作為臨終症狀控制","醫療團隊可向家屬說明將盡全力搶救病人到底","A",null,[],"本題考點是傳染病隔離情境下的臨終照護原則。依安寧緩和照護的家庭系統觀，親人在負壓隔離、無法陪伴的情況下驟然面對死亡，符合複雜性哀傷(complicated grief)的高風險條件，故應主動轉介社工、心理師或安寧團隊介入，選 A。B 錯在感控措施允許以視訊、隔窗探視或著全套防護短暫陪伴，並非禁止任何形式接觸，一刀切違反臨終陪伴的人性需求。C 錯在緩和性鎮靜(palliative sedation)的適用取決於難以控制的痛苦症狀，與是否為傳染病無關，傳染病人一樣可用。D 錯在對瀕死病人強調「盡全力搶救到底」違反善終與不施行無效醫療的原則，也會加重家屬期待落差。","複雜性哀傷指哀傷反應超過六個月仍嚴重影響功能，突發死亡、無法好好告別、關係緊密卻被迫分離都是危險因子，COVID-19 隔離死亡幾乎集齊所有條件。緩和性鎮靜是安寧末期對頑固症狀(如喘、躁動)的合法處置，目的在減輕痛苦而非加速死亡(雙重效應原則)，與傳染性無關。可對比：安寧照護重視的是生命品質與善終，而非不計代價延命，故 D 的搶救語言恰與安寧精神相反。記憶點：隔離不等於隔絕情感，感控要「防病毒不防人性」。",[25,28,30,33],{"term":26,"count":27},"安寧緩和照護",5,{"term":29,"count":11},"複雜性哀傷",{"term":31,"count":32},"緩和性鎮靜",1,{"term":34,"count":32},"善終原則",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-2-fundamental-nursing-055","有關臨終病人的護理措施，下列何者適當？",55,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-113-1-fundamental-nursing-021","有關導尿管的選擇原則，下列何者錯誤？",21,113,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-113-3-fundamental-nursing-015","周小妹連續給予大量靜脈注射導致有循環負荷過量（Circulatory Overload）問題，最可能出現下列何種症狀？①水腫 ②皮膚起紅疹 ③血壓下降 ④呼吸困難 ⑤頸靜脈怒張",15,3,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-115-1-fundamental-nursing-013","醫囑：tacrolimus 1 mg\u002Fcap 1 cap. QD P.O. 為持續性藥效膠囊，其正確的服用方式為何？",13,115,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-106-2-fundamental-nursing-037","有關醫療環境中機械性傷害之敘述，下列何者正確？",37,106,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-107-2-fundamental-nursing-071","依據我國傳染病防治法第 3 條規定，傳染病的分類，登革熱屬於第幾類傳染病？",71,107,"2026-09-04",1788510747039]