[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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":11},"nurse-113-1-精神科與社區衛生護理學-012","nurse-113-1-psychiatric-community-012",113,1,12,"有關思覺失調症病人常不規則服藥，下列何項出院藥物護理最不適切？",{"A":14,"B":15,"C":16,"D":17},"評估家庭主要照顧者是誰","了解不服藥的原因","提供藥物相關資訊","返家後的藥物，可供家人自行選擇","D",null,[],"本題考點在於思覺失調症出院藥物指導,辨識不適切作法。依藥物安全與服藥順從性原則,出院藥物應由病人在照顧者協助下按醫囑定時定量服用,「藥物供家人自行選擇」意謂憑感覺增減或挑選藥物,完全違反醫囑給藥原則,可能導致復發或藥物不良反應,故最不適切為 D。A 適切,評估主要照顧者是誰,才能鎖定衛教對象、建立返家後的服藥監督系統;B 適切,依個別化護理原則,先了解不服藥原因(副作用、病識感差、忘記)才能對症介入;C 適切,提供藥物作用與副作用資訊是提升服藥順從性的基本衛教。","思覺失調症不規則服藥的常見原因與對策:(1)病識感不足→衛教疾病概念、動機式晤談;(2)副作用困擾(如錐體外症候群、體重增加)→回報醫師調藥而非自行停藥;(3)認知功能差、忘記服藥→藥盒分裝、鬧鐘提醒、照顧者監督;(4)複雜給藥→簡化處方或改長效針劑(LAI)。出院準備服務(discharge planning)考點:評估照顧系統、轉介社區資源、確保追蹤門診。核心觀念:任何「病人或家屬自行決定藥量\u002F選藥」的選項在國考一律是錯誤選項。",[24,26,29,32],{"term":25,"count":11},"出院準備服務",{"term":27,"count":28},"服藥順從性",5,{"term":30,"count":31},"思覺失調症復發預防",2,{"term":33,"count":10},"醫囑給藥原則",[35,39,44,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-psychiatric-community-013","根據佛洛伊德學說，人格障礙病人在肛門期受到過度的管教約束，影響心性發展。以下何者為其日後的行為模式？",13,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-psychiatric-community-009","有關思覺失調症（schizophrenia）的敘述，下列何者最適切？",9,3,{"webId":45,"stem":46,"number":43,"year":47,"session":31},"nurse-114-2-psychiatric-community-003","林太太因為同時面臨工作、婚姻、親子互動等多項挫折，而有憂鬱情緒，護理師的回應下列何者不適當？",114,{"webId":49,"stem":50,"number":10,"year":51,"session":10},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-psychiatric-community-045","布氏指數（Breteau Index）是病媒蚊幼蟲調查指數之一，是以何種單位計算有病媒蚊幼蟲陽性之容器總數？",45,107,{"webId":58,"stem":59,"number":60,"year":61,"session":31},"nurse-108-2-psychiatric-community-079","依照三段五級防治工作，高血壓個案至社區藥局接受免費用藥指導與處方箋領藥等服務，此項措施屬於那一層次？",79,108,"2026-09-04",1788510751150]