[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-2-產兒科護理學-025","nurse-113-2-maternal-pediatric-025",113,2,25,"劉女士卵巢癌分期 IIIC，本週接受減積手術，劉女士表示自己不再是完整的女人也擔心影響夫妻間的性生活，下列護理師之回應何者較不恰當？",{"A":14,"B":15,"C":16,"D":17},"告訴劉女士現階段應該全心配合治療，不要負面思考","鼓勵劉女士與先生溝通，了解彼此的感受與疑慮","解釋術後可能出現更年期症狀，行房時可加長前戲時間來改善陰道乾澀不適","徵得同意後介紹卵巢癌病友給劉女士，以促進術後正向調適","A",null,[],"本題考點在於卵巢癌病人身體心像改變與性議題的治療性溝通，屬反向題，須找出「較不恰當」的回應。最不恰當為 A：告訴病人「應該全心配合治療、不要負面思考」屬否定與壓抑病人情緒的阻斷式溝通，忽略其對身體心像與性生活的真實擔憂，未提供情緒支持，故為正解。B 恰當，鼓勵夫妻溝通、了解彼此感受，促進伴侶支持與調適。C 恰當，具體衛教術後可能出現更年期症狀並提供改善陰道乾澀不適的方法，屬正向且務實的性健康指導。D 恰當，經同意後引介病友團體，透過同儕支持促進正向調適。本題須辨識「否定情緒、要求正向思考」是治療性溝通的禁忌，會關閉病人表達。","治療性溝通強調同理、接納與傾聽，避免「阻斷式溝通」如給假保證（「不要擔心」）、否定感受（「不要負面思考」）、說教、轉移話題。病人表達「不再是完整的女人」是身體心像紊亂與性自我概念受損的線索，護理回應應先接納情緒、再提供訊息與資源。C 選項雖含衛教內容，但屬回應病人性生活疑慮的正向支持，並非命令式醫囑。記憶原則：面對情緒困擾先「同理反映」而非「糾正想法」；提供病友資源與伴侶溝通都是促進心理社會調適的有效策略。",[24,27,29,32],{"term":25,"count":26},"治療性溝通",18,{"term":28,"count":10},"身體心像紊亂",{"term":30,"count":31},"阻斷式溝通",1,{"term":33,"count":31},"卵巢癌術後性健康",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-026","1 歲 3 個月的幼兒通常可通過動作發展之項目，下列敘述何者較適當？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-maternal-pediatric-022","有關產後血栓性靜脈炎之敘述，下列何者正確？",22,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-maternal-pediatric-016","有關產後憂鬱，下列敘述何者錯誤？",16,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-106-1-maternal-pediatric-064","下列何者不是兒童急性風濕熱會出現的臨床表徵？",64,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-maternal-pediatric-028","有關新生兒出生 2～6 小時過渡期常出現的生理現象，下列何者異常？",28,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-maternal-pediatric-062","彤彤，因母親懷孕 30 週時突然破水致早產，出生體重 1020 公克，併有腦室內出血（intraventricular hemorrhage, IVH），下列護理措施，何者錯誤？",62,108,"2026-09-04",1788510755527]