[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-113-2-精神科與社區衛生護理學-011","nurse-113-2-psychiatric-community-011",113,2,11,"李小姐為躁症發作病人，大夜班護理師查房時發現李小姐跟男病友一起躺在床上，下列護理措施何者較適宜？①觀察兩人的性互動行為程度 ②將兩人分開持續密切觀察 ③鼓勵學習適切的異性互動 ④將李小姐持續隔離，防範接觸異性",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①③④","①②④","A",null,[],"本題考點在於躁症病人性脫抑制(hypersexuality)行為的護理處置,原則是確保安全、適度設限並教育適切互動,而非全然隔離或懲罰。正確組合為①②③。①觀察兩人性互動的程度以評估風險。②將兩人分開並持續密切觀察,兼顧安全與監測。③鼓勵學習適切的異性互動,屬治療與再教育。④「持續隔離、防範接觸異性」屬過度限制與剝奪,躁症性脫抑制的處置不採長期隔離,而是設限與再教育,故含④的選項皆錯,答案為 A(①②③)。考點在於躁症脫抑制以安全設限與行為教育為原則,避免懲罰性長期隔離。","躁症常伴性脫抑制(判斷力下降、衝動、界限模糊)。護理處置:評估互動程度、及時分開並監測、以中性態度設限、待情緒穩定後進行適當社交界限的再教育。長期隔離屬過度限制,違反最小限制原則(least restrictive)。記憶:脫抑制行為要設限與教育,不是關起來。",[24,27,30,33],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":29},"行為設限",4,{"term":31,"count":32},"躁症性脫抑制",3,{"term":34,"count":35},"社交界限再教育",1,[37,40,45,48,53,58],{"webId":38,"stem":39,"number":26,"year":9,"session":10},"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？",{"webId":41,"stem":42,"number":43,"year":44,"session":35},"nurse-114-1-psychiatric-community-008","有關代幣制度的敘述，下列何項不適宜？",8,114,{"webId":46,"stem":47,"number":10,"year":44,"session":32},"nurse-114-3-psychiatric-community-002","陳先生，24 歲，跟護理師說：「你很像我的女朋友，我們感情很好，你跟她一樣有酒窩，由你來照顧我，我很高興。」此為下列何項治療性人際關係？",{"webId":49,"stem":50,"number":51,"year":52,"session":35},"nurse-106-1-psychiatric-community-050","在訂定社區健康計畫之目標時，下列那一種最容易被評值？",50,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-014","護病關係建立過程中，病人將其對過去經驗中重要對象的感覺、態度和希望投射至護理師身上，稱為：",14,107,{"webId":59,"stem":60,"number":61,"year":62,"session":35},"nurse-109-1-psychiatric-community-048","根據傳染病通報規定，下列何者不需於 24 小時內完成病例通報？",48,109,"2026-09-04",1788510755863]