[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-112-2-精神科與社區衛生護理學-021","nurse-112-2-psychiatric-community-021",112,2,21,"陳同學，18 歲，診斷為思覺失調症，父母擔心服藥會影響其學科考試成績。下列護理措施，何者最適切？",{"A":14,"B":15,"C":16,"D":17},"告知家屬考試前可以先暫時停藥","引導家屬了解服藥的重要性","告知家屬症狀出現再服藥即可","教導家屬使用轉移注意力來代替藥物使用","B",null,[],"本題考點是思覺失調症病人的服藥遵從性衛教。維持規律服藥是思覺失調症預防復發的關鍵,面對家屬對藥物影響成績的擔憂,護理師應引導家屬了解持續服藥的重要性,並澄清疑慮、討論副作用管理,故選 B。考前暫時停藥會提高復發風險,A 不適當。等症狀出現再服藥違反維持治療原則,C 不適當。以轉移注意力代替藥物並無法取代抗精神病藥的療效,D 不適當。","思覺失調症屬需長期維持治療的疾病,停藥是復發最常見的原因。護理策略聚焦於:提升病識感、以衛教澄清錯誤認知、共同面對副作用(必要時與醫師討論調整劑量或改用長效針劑以改善遵從性),並納入家屬成為治療同盟。家屬的態度與支持深刻影響病人的遵醫囑行為與復元。記憶重點:面對停藥疑慮,回應方式是教育與澄清而非妥協停藥。",[24,27,30,33],{"term":25,"count":26},"思覺失調症",17,{"term":28,"count":29},"服藥遵從性",5,{"term":31,"count":32},"家屬衛教",3,{"term":34,"count":35},"預防復發",1,[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-psychiatric-community-022","承上題，陳同學及父母擔心疾病又再復發，顯得焦慮不安。下列護理措施，何者最不適切？",22,{"webId":42,"stem":43,"number":44,"year":9,"session":32},"nurse-112-3-psychiatric-community-038","某學校學生在校吃完中餐，多人在 2～4 小時後發生噁心、嘔吐、腹瀉等症狀，經送醫後醫療院所推論為食物中毒。下列敘述何者最不適當？",38,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-psychiatric-community-032","有關決定社區護理診斷排序的考量因素，下列何者最不適當？",32,113,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-114-3-psychiatric-community-030","某學者找無罹患過鼻咽癌的勞工，工作於高濃度甲醛環境的勞工視為暴露組，工作在甲醛濃度為環境背景值的勞工當非暴露組，追蹤 10 年後分析二組勞工罹患鼻咽癌的相對危險性（relative risk）為 2.5，下列最適當的推論為：",30,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-psychiatric-community-004","護理師於會談中詢問病人：「為什麼到醫院來？」、「就你所知，醫師為什麼開這些藥物給你？」請問是為了獲得那方面的評估資料？",4,106,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-107-2-psychiatric-community-038","林小姐主動向護理師表示：「我的存在造成了家人的困擾」、「有什麼方法可以解脫」、「吃安眠藥會死嗎？」，此時護理師要對林小姐進行自殺危險程度評估，護理師之回應，下列何者最適當？",107,"2026-09-04",1788510748863]