[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-002":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":10},"nurse-112-2-精神科與社區衛生護理學-002","nurse-112-2-psychiatric-community-002",112,2,"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？",{"A":13,"B":14,"C":15,"D":16},"醫師行為並未違反醫療倫理，因為醫師是為病人著想，病人應該尊重專業","醫師行為並未違反醫療倫理，因為醫療需要進步，應要有病人參與臨床試驗","醫師行為違反醫療倫理，因為並未清楚告知參與新藥之可能風險","醫師行為違反醫療倫理，因為臨床醫師不能進行人體臨床試驗計畫","C",null,[],"本題考點是人體試驗的知情同意與醫療倫理。依據自主原則與知情同意的要件,受試者須在充分被告知試驗目的、可能風險、替代方案與可隨時退出的前提下自願同意;本題醫師僅以暗示藥效較好誘導病人簽署,並未清楚告知參與新藥的可能風險,違反知情同意,故選 C。醫師的善意不能取代告知義務,A 錯。醫療需要進步不能作為省略風險告知的理由,B 錯。臨床醫師在符合人體試驗倫理審查(IRB)規範下可進行試驗計畫,D 敘述本身錯誤。","生命倫理四原則為自主(autonomy)、行善(beneficence)、不傷害(non-maleficence)、正義(justice)。知情同意是自主原則的具體展現,有效要件包含:告知充分、理解、自願、具同意能力。本題病人基於對醫師的信任而簽署,屬於資訊揭露不足下的同意,無法構成有效知情同意,並涉及利用信任關係的不當影響。人體試驗另須經倫理審查委員會(IRB)審查把關,以保障受試者權益。",[23,25,28,30],{"term":24,"count":10},"自主原則",{"term":26,"count":27},"知情同意 informed consent",1,{"term":29,"count":27},"人體試驗倫理",{"term":31,"count":27},"醫療倫理四原則",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-2-psychiatric-community-003","將自己內在無法接受的想法、慾望或衝動，歸咎成他人，讓自己減少一份威脅、危險，同時也增加一份保護的作用，此最可能為下列何種心理防衛機轉？",3,{"webId":38,"stem":39,"number":40,"year":9,"session":36},"nurse-112-3-psychiatric-community-019","有關酒癮病人之敘述，下列何者正確？①停止喝酒後，戒斷症狀會在很短的時間內發生，且持續 5～7 天 ②酒精戒斷譫妄以聽幻覺為主 ③戒斷症狀包括：焦慮、厭食、失眠、顫抖等 ④常有營養不良和維他命 B 群缺乏的情形",19,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-113-2-psychiatric-community-013","有關思覺失調症的致病原因，下列敘述何者最不適切？",13,113,{"webId":47,"stem":48,"number":49,"year":50,"session":36},"nurse-114-3-psychiatric-community-011","楊小姐，診斷第一型雙相情緒障礙症（bipolar I disorder），說話滔滔不絕有意念飛躍現象，情緒高亢，易怒不安，吃飯不專心，洗澡洗頭易分心，入睡困難，近日曾與陌生人發生性行為。下列何項是楊小姐之主要健康問題？①自我照顧能力缺失 ②潛在危險性對自我的暴力行為 ③思考過程改變 ④睡眠型態紊亂",11,114,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-106-1-psychiatric-community-065","若當天時間有限，僅夠訪視一個案家，應選擇下列那一個案？",65,106,{"webId":57,"stem":58,"number":40,"year":59,"session":10},"nurse-107-2-psychiatric-community-019","王同學，20 歲，上課時突然站起毆打鄰座同學，表示同學說他壞話，但同學否認，於是班導師將其轉介到心輔室，一星期後又出現攻擊室友的情形，造成室友受傷而報警處理，因王同學當時情緒非常激動，警察將之制伏後送至急診處理，經家屬同意轉至精神科病房接受治療，王同學頻頻詢問這是何處，環伺四周，神情嚴肅，警戒心高，對問話回應簡短，下列護理措施那項最適當？",107,"2026-09-04",1788510748688]