[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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":10},"nurse-112-2-精神科與社區衛生護理學-001","nurse-112-2-psychiatric-community-001",112,2,1,"有關精神衛生護理人員角色功能的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"社區照護服務常採用個案管理者（Case Manager）","個案管理者只有護理師可擔任","功能性護理是精神科病房普遍的照護方式","護理計畫不必由主責護理師（Primary Nurse）擬定","A",null,[],"本題考點是精神衛生護理人員的角色功能。社區精神照護強調連續性與整合性服務，常採用個案管理者(Case Manager)統籌評估、連結資源與追蹤個案，故選 A。個案管理者可由護理師、社工師、職能治療師等多專業人員擔任，不限護理師，B 錯。功能性護理(functional nursing)以任務分工為主、缺乏整體性,並非精神科病房普遍且適合的照護模式，精神科重視治療性關係與全人照護，C 錯。護理計畫應由主責護理師(Primary Nurse)擬定並負責，D 錯。","精神科護理常見的照護分派模式對比：功能性護理按任務切割(如專人打針、專人發藥)效率高但破碎;全責護理(Primary Nursing)由一位護理師對個案負全程之責，最能建立治療性關係，是精神科偏好的模式。個案管理則跨越機構界線，在社區銜接醫療、就業、居住與社福資源,是去機構化後社區精神復健的核心角色。記憶重點:社區照護對應個案管理者、住院照護對應主責護理師。",[24,26,28,30],{"term":25,"count":10},"社區精神照護",{"term":27,"count":11},"個案管理者 Case Manager",{"term":29,"count":11},"主責護理師 Primary Nurse",{"term":31,"count":11},"功能性護理",[33,36,41,46,51,56],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-112-2-psychiatric-community-002","某精神科醫師在門診時，暗示病人有新藥的臨床試驗計畫，藥效比較好，病人基於對醫師的信任並認為新藥的治療效果較佳，同意簽人體試驗同意書，下列敘述何者正確？",{"webId":37,"stem":38,"number":39,"year":9,"session":40},"nurse-112-3-psychiatric-community-018","葉先生，36 歲，診斷恐慌症，發作時感到喘不過氣、胸痛、四肢麻痺，在急診時大喊：「我覺得快死了！」，下列護理師的處置，何者最適宜？",18,3,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-113-2-psychiatric-community-012","根據 DSM-5 診斷準則，有關第一型雙相情緒障礙症（bipolar disorder）之鬱症（major depressive episode）症狀，不包括下列何項？",12,113,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-114-3-psychiatric-community-010","有關解離性失憶症（dissociative amnesia）的護理措施，下列何者最適當？",10,114,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-106-1-psychiatric-community-064","下列那些家庭護理措施屬於第一段預防的措施？①指導老人接受流感預防注射 ②清除居家易積水容器 ③鼓勵中年婦女接受乳房攝影檢查 ④指導中風病人做復健",64,106,{"webId":57,"stem":58,"number":39,"year":59,"session":10},"nurse-107-2-psychiatric-community-018","林先生，正處於躁症急性期，最近因忙碌進食量減少，目前服用鋰鹽（lithium carbonate），出現腹瀉、手抖、噁心嘔吐等現象，下列何者為最優先的處置？",107,"2026-09-04",1788510748685]