[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-027","nurse-113-2-psychiatric-community-027",113,2,27,"居家護理師發現一位老年個案有多重用藥狀況，下列護理措施何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"清點完藥物後，多出的請個案自行丟棄","評估個案是否有藥物交互使用的副作用症狀","評估個案每日服用藥物狀況","評估個案用藥知識","A",null,[],"本題考點在於居家多重用藥(polypharmacy)個案的用藥安全管理原則,屬反向題,要找出「最不適當」的措施。錯誤敘述為 A:清點後多出的藥物請個案自行丟棄。藥物屬須妥善處理的廢棄物,任意丟棄可能造成環境污染、他人誤食或個案日後又翻找服用,正確做法是協助回收至藥局或衛教正確處置,而非放手讓個案自行丟棄,故選 A。選項 B 評估是否出現藥物交互作用副作用症狀,正是多重用藥最需監測的核心,適當;選項 C 評估每日實際服用狀況(含自行加減、漏服),能掌握順從性,適當;選項 D 評估用藥知識,可找出認知不足並據以衛教,適當。三個正確選項都圍繞「評估」與「安全監測」,唯 A 是處置上的疏失。","多重用藥定義常以同時使用 5 種以上藥物為界,老年人因多重共病、多科就診易發生。護理管理三步驟:清點(brown bag review)→評估交互作用與順從性→衛教。廢棄藥品處理在台灣可循「藥品回收」管道(如社區藥局收受),尤其抗生素、荷爾蒙、細胞毒性藥不可隨垃圾或馬桶丟棄,這是本題把「自行丟棄」設為陷阱的用意。",[24,27,29,31],{"term":25,"count":26},"多重用藥 polypharmacy",1,{"term":28,"count":26},"居家護理用藥評估",{"term":30,"count":26},"藥物交互作用監測",{"term":32,"count":26},"廢棄藥品處理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-psychiatric-community-028","有關篩檢工具效度的敘述，下列何者最適當？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-psychiatric-community-024","有關社區精神衛生護理的角色功能，下列何者最適切？",24,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-psychiatric-community-018","有關老年人自殺的特性，下列敘述何者最不適當？",18,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-psychiatric-community-066","臺灣地區新移民婦女在自我健康管理上的弱勢，主要與下列何者有關？",66,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-030","「遺尿症（enuresis）」是指兒童在幾歲後仍會重複地尿濕衣服？",30,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-1-psychiatric-community-064","有關化學性水媒疾病，下列敘述何者正確？",64,109,"2026-09-04",1788510756003]