[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-113-1-精神科與社區衛生護理學-019","nurse-113-1-psychiatric-community-019",113,1,19,"承上題，廖奶奶經醫師建議入院治療，有關各項治療的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"透過哀傷輔導，可協助廖奶奶表達內心的感受","為改善廖奶奶憂鬱情緒，必須服用rivastigmine（Exelon®）","為防範廖奶奶自殺，護理師應密切觀察，每5分鐘提供探視","儘量要求廖奶奶參加所有治療活動，轉移其負面情緒","A",null,[],"本題考點在於老年喪偶憂鬱個案住院後的治療選擇。依哀傷輔導理論(Worden 哀悼任務論),協助喪親者表達與經驗悲傷情緒是核心任務,對經歷老伴過世三個月、情緒低落的廖奶奶,哀傷輔導能協助其表達內心感受、走過哀悼歷程,故 A 最適當。B 錯誤,rivastigmine(Exelon)是膽鹼酯酶抑制劑,適應症為失智症認知症狀,不是抗憂鬱劑,「必須服用」更屬錯誤指令;C 錯誤,對自殺高危險個案的密切觀察標準是一對一持續觀察(constant observation),每 5 分鐘探視的間隔仍足以完成自殺行為,防範強度不足且敘述不符常規;D 錯誤,「儘量要求參加所有活動」違反個別化原則,對重度憂鬱者過度要求反增挫敗感,活動安排應漸進且依體力與意願調整。","Worden 哀悼四任務:接受失落事實、經驗悲傷痛苦、適應沒有逝者的環境、情感重新投注於新生活。哀傷輔導技巧:傾聽、允許哭泣、引導述說與逝者的回憶、正常化悲傷反應。藥物考點對照:憂鬱用 SSRI(如 sertraline,老人首選之一);失智認知症狀用膽鹼酯酶抑制劑(donepezil、rivastigmine、galantamine)與 NMDA 拮抗劑(memantine)——命題者愛用「藥物錯配」設誘答。自殺防護分級:高危險採一對一全程觀察、移除危險物品、安置於護理站附近;「每 15 分鐘巡視」多用於中度風險,每 5 分鐘間歇探視並非高危個案的安全標準。",[24,26,28,30],{"term":25,"count":10},"Worden 哀悼任務論",{"term":27,"count":10},"哀傷輔導",{"term":29,"count":10},"rivastigmine 適應症",{"term":31,"count":10},"自殺防護觀察分級",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-psychiatric-community-020","下列何者不屬於神經發展障礙症（neurodevelopmental disorders）的疾病？",20,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-psychiatric-community-016","有關身體症狀障礙症（somatic symptom disorder）的敘述，下列何者較不適切？",16,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-psychiatric-community-010","有關妄想症患者（delusional disorder）之敘述，下列何者最適當？",10,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-psychiatric-community-008","在家庭治療理論中，認為當家庭成員出現功能上的改變，會影響其他成員，且主張偏差行為或心理問題是整個家庭系統的產物，而不是個人單一的問題，此為那類學派之理論重點陳述，下列何項正確？",8,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-psychiatric-community-052","有關健康促進的推動，下列何者錯誤？",52,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-psychiatric-community-006","王小姐，診斷思覺失調症，護理師發現王小姐眼神怪異，表情緊張。於是問王小姐是不是在獨處時會聽到有人對她說話。請問這是屬於整體性護理評估的那一種層面？",6,109,"2026-09-04",1788510751219]