[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-112-2-精神科與社區衛生護理學-075","nurse-112-2-psychiatric-community-075",112,2,75,"陳先生 74 歲，出血性中風個案，巴氏量表為 55 分，主要照顧者為 72 歲陳太太；陳先生於情況穩定後出院返家，但仍須留置鼻胃管及氣切管，陳太太表示無法獨自帶先生回門診，且對管路照顧感到擔心。個案管理師最優先建議陳太太使用的長期照顧服務資源，下列何項最適當？",{"A":14,"B":15,"C":16,"D":17},"居家照顧服務","居家護理","居家復健","居家無障礙環境改善服務","B",null,[],"本題考點在於依個案照護需求選擇最適當的長照資源。陳先生為出血性中風後留置鼻胃管與氣切管，最迫切的是管路的專業護理（更換、照護、感染監測），且照顧者無法自行帶其回診，這正是居家護理由護理師到宅提供技術性護理服務的功能，故最優先選 B。A 居家照顧服務由居服員協助日常生活照顧，無法處理鼻胃管、氣切管等專業護理。C 居家復健針對功能復健訓練，非管路照護所需。D 居家無障礙環境改善是改善居家設施，與管路照護的即時需求不符。判斷關鍵在於「留置管路＋照顧者對管路照顧擔心＋無法回診」對應的是需護理專業到宅的居家護理。","居家護理由護理師（及醫師）定期到宅提供技術性醫療護理，如鼻胃管與氣切管更換、傷口護理、注射給藥、健康評估等，並可透過居家醫療解決行動不便者無法回診的問題，正切合本個案『管路照護＋難以外出就醫』的雙重需求。這與居家照顧服務（居服員做日常生活協助）的分工要清楚區辨：技術性護理找居家護理，生活照顧找居家服務。",[24,26,29,31],{"term":15,"count":25},5,{"term":27,"count":28},"鼻胃管與氣切管照護",1,{"term":30,"count":28},"技術性護理",{"term":32,"count":28},"長照資源選擇",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-psychiatric-community-076","承上題，若陳先生無法獨自進行沐浴及上下床，且陳太太年長衰弱，為協助陳太太照顧個案，下列那一項長期照顧資源服務最適當？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-psychiatric-community-042","有關兒童口腔保健之護理指導，下列何者最不適當？",42,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-psychiatric-community-036","有關護理師在校園中的角色功能敘述，下列何者最不適當？",36,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-psychiatric-community-034","依據三段五級概念，下列那一項屬於第一級的預防措施？",34,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-058","有關我國長期照顧十年計畫 2.0 喘息服務的描述，下列何者正確？",58,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-psychiatric-community-012","林小姐，因患嚴重的強迫症而住院治療，楊護理師經多日的觀察與評估後，擬訂林小姐的護理計畫，並安排每週二次的認知治療，有關認知治療之敘述，下列何項較適切？①認知的再建構 ②安排作業練習 ③僅強調過去經驗 ④建立替代想法",12,108,"2026-09-04",1788510749303]