[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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":11},"nurse-112-2-基本護理學與護理行政-056","nurse-112-2-fundamental-nursing-056",112,2,56,"林護理師為臨終的吳女士的主護護理師，常覺得無力感、焦慮不安，並向同事表示心情很低落，此時病房安排照護人力時，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"更改其他護理人員擔任主護護理師","建議到寺廟拜拜祈求淨身保平安","基於專業使命感，應勇於承擔照護責任","由資深同仁告知可能不適任護理工作","A",null,[],"本題考點是護理人員面對臨終照護產生同情疲乏(compassion fatigue)時的行政支持措施。依護理管理中人力調配應保障照護品質與員工身心健康的原則，當主護護理師已出現無力感、焦慮與情緒低落等耗竭徵兆，最適當的做法是暫時調整、更換主護角色以緩解壓力，故 A 正確。B 錯在建議拜拜祈福屬個人信仰範疇，非專業行政處置，無法解決照護負荷。C 錯在以「使命感應勇於承擔」強押已耗竭者續留，將惡化身心狀況並危及病人安全。D 錯在由資深同仁告知「可能不適任」是貶抑與人身否定，非但無支持性，還可能構成職場壓力來源。","同情疲乏與繼發性創傷壓力常見於長期照顧臨終、重症病人的護理師，表現為情緒耗竭、去人性化與成就感低落(即 Maslach 職業倦怠三向度)。管理者的正確介入包括工作輪替、減壓、提供諮商與同儕支持團體(debriefing)，而非道德勸說或究責。行政決策要區分「個人化情緒調適」與「組織應提供的結構性支持」，本題四選項中只有 A 屬於後者。記憶點：耗竭不是不夠努力，而是需要被輪替與被支持。",[25,27,30,32],{"term":26,"count":11},"職業倦怠",{"term":28,"count":29},"同情疲乏",1,{"term":31,"count":29},"護理人力調配",{"term":33,"count":29},"員工支持",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-057","有關直覺式決策（Intuitive decision-making），下列敘述何者正確？",57,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-113-1-fundamental-nursing-023","約束病人的注意事項，下列何者錯誤？",23,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-fundamental-nursing-017","有關冷熱應用能量轉換原理之敘述，下列何者錯誤？",17,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-115-1-fundamental-nursing-015","王太太生產會陰部有撕裂傷口，醫囑每天執行溫水坐浴（Sitz Bath）二次，下列敘述何者錯誤？",15,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-039","下腸胃道出血病人糞便的顏色，下列何者正確？",39,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-fundamental-nursing-073","有關醫療廢棄物的敘述，下列何者錯誤？",73,107,"2026-09-04",1788510747049]