[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-112-3-精神科與社區衛生護理學-015","nurse-112-3-psychiatric-community-015",112,3,15,"林先生患第一型雙相情緒障礙症（Bipolar I Disorder）多年，當其在躁症發作時，很容易與人起衝突，而出現攻擊行為，下列護理措施何者正確？①將病人留在現場 ②鼓勵病人以言語表達其感受 ③必要時，帶入保護室隔離 ④以堅定口氣指示病人適當的行為",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點在於躁症發作合併攻擊行為時的安全性護理原則。依攻擊行為處置準則，當病人已出現衝突與攻擊時，應先確保環境與人員安全，故②鼓勵病人以言語表達感受(以口語宣洩取代肢體攻擊)、③必要時帶入保護室隔離降低刺激、④以堅定明確的口氣指示適當行為(設限)三者皆為正確措施，選 D(②③④)。①「將病人留在現場」錯誤，攻擊當下若留在原衝突情境會持續激化，應將病人帶離刺激源而非留置現場。躁症病人易受環境刺激而衝動，護理重點在降低刺激、設限與提供宣洩管道。","躁症攻擊行為的處置採階梯式:先以口語安撫與設限(least restrictive),無效再考慮藥物,最後才用隔離或約束(most restrictive)。設限技巧要點為態度堅定一致、語句簡短明確、對事不對人。保護室隔離目的是減少過度感官刺激並保護病人與他人,而非懲罰。可對比:躁症宜低刺激環境,與譫妄的低刺激原則相通。",[24,27,29,32,34],{"term":25,"count":26},"設限技巧",4,{"term":28,"count":10},"降低環境刺激",{"term":30,"count":31},"雙相情緒障礙症躁症",1,{"term":33,"count":31},"攻擊行為處置",{"term":35,"count":31},"保護室隔離",[37,41,47,52,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-3-psychiatric-community-016","李同學，18 歲，第一次被診斷為第一型雙相情緒障礙症，護理師向李同學及家屬進行護理指導時，下列何者最適宜？",16,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-113-2-psychiatric-community-012","根據 DSM-5 診斷準則，有關第一型雙相情緒障礙症（bipolar disorder）之鬱症（major depressive episode）症狀，不包括下列何項？",12,113,2,{"webId":48,"stem":49,"number":50,"year":51,"session":31},"nurse-114-1-psychiatric-community-006","有關「以整個事件中的單一細節下結論，而沒有考慮整個事件中還有其他相關的訊息」，是屬於下列何項「負向認知思考模式」？",6,114,{"webId":53,"stem":54,"number":26,"year":55,"session":46},"nurse-115-2-psychiatric-community-004","一位 42 歲女性，診斷憂鬱症，經醫師處方千憂解 duloxetine（Cymbalta ® ）治療。用藥第 7 天返診時，她抱怨最近常感焦慮、緊張、容易出汗、手抖。下列評估或處置，何者最適當？",115,{"webId":57,"stem":58,"number":59,"year":60,"session":46},"nurse-106-2-psychiatric-community-078","教導糖尿病個案如何使用鏡子來觀察腳底皮膚狀況，讓個案可以回去自行觀察，下列何種教學方法最適合？",78,106,{"webId":62,"stem":63,"number":64,"year":65,"session":46},"nurse-108-2-psychiatric-community-032","罹患分離焦慮症（separation anxiety disorder）的兒童，其護理重點為何？①增強病童的安全感 ②增加分離的次數 ③教導病童的因應能力 ④訓練病童的獨立性",32,108,"2026-09-04",1788510745834]