[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-113-1-產兒科護理學-034","nurse-113-1-maternal-pediatric-034",113,1,34,"小紅，12歲，罹患急性骨髓性白血病，治療後復發，目前處於疾病末期，她向父母發脾氣說：「為什麼生病的人是我，都是你們沒有把我照顧好！」，下列照護措施何者最適合？",{"A":14,"B":15,"C":16,"D":17},"仔細傾聽其話語，鼓勵小紅表達內心的需要","鼓勵接受目前的治療措施，降低治療造成的疼痛","鼓勵與同儕聯繫，讓其有歸屬感，並轉移焦點","說明父母與醫療團隊已經盡最大努力協助治療","A",null,[],"本題考點在於癌症末期兒童情緒宣洩時的治療性溝通。個案12歲對父母發怒指責,屬面對死亡的憤怒期情緒反應。依治療性溝通原則,此時最適當的是仔細傾聽、接納並鼓勵表達內心需要,讓情緒得到出口,故A正確。B不適當:此時談接受治療是轉移焦點且忽略當下情緒。C不適當:急著轉移焦點到同儕,等於否定與逃避其正在表達的憤怒與恐懼。D不適當:辯解父母與醫療團隊已盡力,是防衛式回應,會讓個案覺得情緒不被接納。辨識關鍵在於「先接納情緒再處理問題」。","Kübler-Ross臨終五階段:否認→憤怒→討價還價→憂鬱→接受。憤怒期的照護重點是不與之爭辯、不個人化其攻擊,以同理與傾聽承接。學齡期至青春期兒童已具較成熟死亡概念(理解死亡的不可逆與普遍性),需要被傾聽與參與。治療性溝通首要=積極傾聽與情感反映,而非說理或轉移。",[24,27,29,31],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":10},"Kübler-Ross臨終階段",{"term":30,"count":10},"憤怒期",{"term":32,"count":10},"積極傾聽",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-035","小敏妊娠週數26週出生，醫師診斷為壞死性腸炎（necrotizing enterocolitis, NEC），有關其護理照護及處置之敘述，下列何者最不適當？",35,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-031","一瓶 nystatin 懸浮液為 100,000 units\u002FmL，兒童罹患鵝口瘡需要一天四次服用，每次給予 250,000 units，請問應給予幾 mL？",31,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-maternal-pediatric-025","有關更年期婦女荷爾蒙之變化，下列敘述何者正確？",25,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-maternal-pediatric-023","黃女士，G 1 P 1 ，陰道生產，想在寶寶 1 歲前離奶（斷奶），下列何者錯誤？",23,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-maternal-pediatric-067","罹患中耳炎病童的臨床表徵，下列敘述何者錯誤？",67,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-maternal-pediatric-021","劉女士 G 2 P 2 ，陰道生產，產後第 2 天主訴：「我的子宮收縮怎麼這麼痛」，下列何者錯誤？",21,108,"2026-09-04",1788510750927]