[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-034","nurse-112-2-psychiatric-community-034",112,2,34,"江先生為思覺失調症病人，出院返家後，常干擾社區居民，但不至於傷害他人，家屬表示病人不願意配合服藥與規律返診，照顧困難。依此情境，最適合提供江先生下列何種精神醫療服務？",{"A":14,"B":15,"C":16,"D":17},"強制住院治療","居家治療","精神護理之家","住宿型康復之家","B",null,[],"本題考點是社區精神醫療服務的適當轉介選擇。江先生病情尚未達傷害他人的程度、不符合強制住院要件，但因拒絕服藥、不規律返診且家屬照顧困難，最適合由專業團隊主動到宅提供評估、給藥與追蹤的居家治療（居家精神醫療），故選 B。A 錯，強制住院須符合「有傷害他人或自己之虞且拒絕住院」的嚴格法定要件，江先生不至於傷害他人，不符合。C 精神護理之家收治慢性、需長期生活照護且失能程度較高者，江先生仍住家中。D 住宿型康復之家適用症狀穩定、需訓練生活與職業功能且願配合的個案，江先生拒絕配合服藥，不適合。考點在於辨識「病情不危及安全、但拒藥拒診、需主動到宅服務」的情境對應居家治療。","台灣社區精神復健體系依病人自主性與失能程度分層：居家治療針對拒絕就醫、失聯或行動不便者，由團隊主動外展；康復之家與社區復健中心針對願配合、需功能訓練者；護理之家針對高失能、需長期照護者。強制住院屬最後手段，受精神衛生法嚴格規範。記憶要點：主動出擊找病人＝居家治療。可延伸連結精神衛生法強制住院要件、社區個案管理與外展服務。",[24,27,30,32],{"term":25,"count":26},"強制住院要件",4,{"term":28,"count":29},"居家治療(居家精神醫療)",1,{"term":31,"count":29},"社區精神復健體系",{"term":33,"count":29},"個案自主性分層",[35,39,43,47,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-psychiatric-community-035","陳女士，有自殺病史，近一個月終日以淚洗面，並向家人表示不想活在世間，而被家人送至精神科接受住院治療。此時，針對陳女士的護理措施最優先的是：",35,{"webId":40,"stem":41,"number":29,"year":42,"session":29},"nurse-113-1-psychiatric-community-001","有關情感轉移（transference）的敘述，下列何者正確？",113,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-113-2-psychiatric-community-045","有關社區護理師於長期照護之角色與職責，下列何者最不適當？",45,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-114-3-psychiatric-community-043","目前我國 1 至 14 歲的兒童及青少年最主要的死因為何？",43,114,3,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-017","減少阿茲海默症病人之問題行為發生的護理處理，下列何者最適宜？",17,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-psychiatric-community-051","有關社區衛生護理與醫院護理的差異，下列何者正確？",51,107,"2026-09-04",1788510748960]