[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-035":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-035","nurse-112-2-psychiatric-community-035",112,2,35,"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：",{"A":14,"B":15,"C":16,"D":17},"建立治療性人際關係","安排家屬與個案討論未來生活安置","提供安靜的環境，讓陳女士好好休息","對陳女士採取自殺防範措施","D",null,[],"本題考點是自殺高風險病人的護理優先順序。陳女士有自殺病史、近期明確表達不想活，屬立即性的生命安全威脅，依馬斯洛需求層次與護理優先原則，維持生命安全永遠優先於心理社會層面照護，故住院初期最優先為 D 採取自殺防範措施。A 建立治療性人際關係重要，但屬後續照護，非最優先。B 安排家屬討論未來安置屬中長期規劃。C 提供安靜環境休息無法防止自傷，且獨處反而增加自殺風險。考點在於辨識「生命安全（防範自殺）優先於一切心理照護」的護理排序。","自殺防範包括移除危險物品、密切且不引人注意的觀察（必要時一對一）、環境安全評估與簽訂不自傷約定，核心是先保住生命。依馬斯洛，生理與安全需求須先於愛與隸屬（治療性關係）被滿足。臨床提醒：憂鬱病人在情緒稍好轉、體力恢復時反而是自殺高峰，因這時較有能量執行計畫，故安全監測不可鬆懈。記憶要點：命都沒了談不上治療關係，安全第一。可延伸連結自殺風險分級、直接照護觀察與危機處置。",[24,27,30,33],{"term":25,"count":26},"馬斯洛需求層次",10,{"term":28,"count":29},"護理優先順序",4,{"term":31,"count":32},"病人安全",3,{"term":34,"count":35},"自殺防範措施",1,[37,41,45,49,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-psychiatric-community-036","有關災難護理的敘述，下列何者最不適切？",36,{"webId":42,"stem":43,"number":10,"year":44,"session":35},"nurse-113-1-psychiatric-community-002","有關多巴胺（dopamine）傳導路徑理論與思覺失調症的關係，下列敘述何者最適切？",113,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-113-2-psychiatric-community-046","評估個案的失能狀況，下列何項身體功能評估工具最不適當？",46,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-114-3-psychiatric-community-044","下列那些常見職業暴露已被國際癌症組織（International Agency for Research on Cancer, IARC）列為與肺癌有關之致癌物？①對羥基苯甲酸酯 ②石綿 ③砷 ④煤焦油 ⑤二氧化碳",44,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-psychiatric-community-018","譫妄病人最常出現的幻覺為下列何者？",18,106,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-107-2-psychiatric-community-052","每 1,000 位育齡婦女平均所生的女嬰數，稱之為：",52,107,"2026-09-04",1788510748963]