[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-113-2-精神科與社區衛生護理學-050","nurse-113-2-psychiatric-community-050",113,2,50,"社區護理師進行居家訪視為張先生測量血壓，血壓值為 190\u002F98 mmHg，張先生表示頭痛、視力模糊，下列護理處置何者最適當？",{"A":14,"B":15,"C":16,"D":17},"建議張先生泡熱水澡放輕鬆","建議張先生立即就醫","建議張先生吃少油少鹽飲食","建議張先生外出散步","B",null,[],"本題考點在於居家訪視中辨識「高血壓急症合併標的器官症狀」時的適當處置。個案血壓 190\u002F98 mmHg 且合併頭痛、視力模糊,已出現可能的腦部與視網膜等標的器官受影響徵象,屬須立即醫療評估與降壓處理的緊急情況,護理師應協助其儘速就醫,故選 B。選項 A 泡熱水澡會使周邊血管擴張、可能引發姿勢性變化與意外,且延誤處置,不適當;選項 C 少油少鹽飲食屬長期血壓控制的生活衛教,無法處理當下急症;選項 D 外出散步在血壓過高且已有神經眼部症狀時反而增加風險,不適當。判斷關鍵在於分辨「無症狀高血壓的長期管理」與「合併症狀的高血壓急症需即時就醫」兩種層級。","高血壓危象區分:hypertensive urgency(血壓極高但無急性標的器官損傷)與 hypertensive emergency(血壓極高且合併腦、心、腎、眼等標的器官受損,如劇烈頭痛、視力模糊、胸痛、意識改變、神經功能缺損)。本題出現頭痛與視力模糊,提示可能的標的器官影響,處置層級須拉高到即時就醫評估,而非居家生活調整。居家血壓管理平時著重飲食、規律服藥與監測,但一旦出現警訊症狀即屬須就醫的緊急情境,是社區護理常見的判斷題型。",[24,27,29,31],{"term":25,"count":26},"高血壓急症 hypertensive emergency",1,{"term":28,"count":26},"標的器官損傷徵象",{"term":30,"count":26},"居家訪視緊急判斷",{"term":32,"count":26},"血壓管理層級區分",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":26,"year":9,"session":37},"nurse-113-3-psychiatric-community-001","有關治療性關係之特性，下列敘述何者正確？",3,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-psychiatric-community-047","85歲方奶奶獨居，巴氏量表評估為65分，目前無法自行洗澡和備餐，需有社區志工陪同就醫。若要申請長期照顧服務項目，何項最合適？",47,114,{"webId":44,"stem":45,"number":46,"year":42,"session":37},"nurse-114-3-psychiatric-community-041","關於促進原鄉健康平等的措施，下列敘述何者最不適當？",41,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-106-2-psychiatric-community-009","有關環境治療的敘述，下列何項正確？①躁症病人應減低過度的環境刺激 ②監視憂鬱症病人防止自殺行為 ③提供思覺失調症病人新的認同對象 ④行為失控時即刻使用身體約束及保護隔離",9,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-psychiatric-community-053","社區衛生護理可分為綜合性（generalized）與專科化（specialized）兩種方式推展，有關綜合性社區衛生護理的敘述，下列何者錯誤？",53,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-psychiatric-community-007","40 歲的張小姐患有憂鬱症，某日向護理師抱怨：「吃藥讓我覺得非常不舒服，可否請你告訴醫生？」下列何項護理師的回答較為合適？",7,109,"2026-09-04",1788510756188]