[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-113-3-基本護理學與護理行政-046","nurse-113-3-fundamental-nursing-046",113,3,46,"有關護理成本的管控方法，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"只需單位護理長執行成本管控","多領衛材存放單位，預防不夠用","護理作業導入資訊化，如護理紀錄","為增加占床率，讓病人多住院幾天","C",null,[],"本題考點在於護理成本管控的正確方向：以效率化、去除浪費為核心。依成本效益原則，護理作業導入資訊化(如電子護理紀錄)可減少重複抄寫、降低人力與紙本成本並提升正確性，屬正確策略，故選 C。A 錯在成本管控是全體共同責任，非僅護理長一人，第一線人員才是耗材使用者；B 錯在「多領以防不夠」造成庫存積壓與過期報廢，反而增加成本，正確做法是依需求量請領;D 錯在為衝占床率延長住院日屬不當醫療、浪費健保資源，違反成本與品質倫理。本題屬管理概念辨識題。","成本管控三面向：減少浪費(耗材依量請領)、提升效率(資訊化)、合理利用資源(適當住院日)。資訊化的長期效益在減少給藥錯誤與人力工時，屬「以投資換取長期節省」。記憶點：占床率(bed occupancy rate)高不等於營運好，若靠延長不必要住院衝高,反被健保核刪。全員參與成本意識是 TQM(全面品質管理)精神。",[25,28,31,33],{"term":26,"count":27},"占床率",7,{"term":29,"count":30},"護理成本管控",1,{"term":32,"count":30},"資訊化護理紀錄",{"term":34,"count":30},"耗材庫存管理",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-fundamental-nursing-047","有關績效考核的原則，下列敘述何者正確？",47,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-fundamental-nursing-043","某護理師在臨床工作一年半，已進階 N1，準備申請 N2 進階，應該參加下列那些訓練課程？①教學原理與方法 ②危機處理 ③重症病人護理 ④護理標準制定",43,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-115-1-fundamental-nursing-037","某護理師本月工作180小時，月薪45,000元。今天使用90分鐘寫護理紀錄，估計該項活動花費護理人力成本多少元？",37,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-fundamental-nursing-055","一位 50 歲男性，離婚，曾擔任機師已被確診為肺癌末期病人，經歷過化學治療、放射線治療及標靶治療。近日因出現嚴重的喘、呼吸困難及意識改變而入院治療，但因疾病持續進展，目前病人已面臨「瀕死」的階段。此階段病人可能會出現之生理變化，下列何者正確？①希式面容（Facies Hippocratica） ②畢歐氏呼吸（Biot’s respiration） ③鞏膜水腫 ④幻視覺或幻聽覺 ⑤疼痛減弱或消失",55,106,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-108-1-fundamental-nursing-019","醫囑「Demerol 40 mg IM Q6H PRN」，Demerol 製劑為 50 mg\u002F1 mL\u002FAmp，有關此醫囑的執行，下列敘述何者正確？",19,108,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-109-1-fundamental-nursing-053","羅先生正在接受 D 5 W 靜脈輸注，流速為 180 mL\u002Fhour，羅先生主訴呼吸喘不舒服，護理師發現其頸靜脈怒張，下列措施何項最為優先？",53,109,"2026-09-04",1788510752381]