[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-1-產兒科護理學-031","nurse-114-1-maternal-pediatric-031",114,1,31,"小婷，14歲，因罹患全身性紅斑性狼瘡（systemic lupus erythematosus, SLE）住院進行脈衝治療（pulse therapy），護理師提供的照護措施，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"住院期間，鼓勵其與同儕保持聯繫","告知疾病和治療對身體外觀影響不大，以減輕其不安","評估疼痛的程度，避免因隱瞞而疏忽對其疼痛的處理","注意傾聽並提供支持，避免評論","B",null,[],"本題考點在於青少年期慢性病（SLE）病人的身體心像與誠實溝通照護。本題為反向題，錯誤（不適當）敘述為 B：SLE 及脈衝類固醇治療確實會造成明顯外觀改變（月亮臉、體重增加、蝶形紅斑、脫髮），對重視同儕認同的 14 歲青少年衝擊很大；謊稱「影響不大」會破壞信任並使其準備不足，故 B 不適當。A 鼓勵與同儕保持聯繫符合青少年發展需求，正確。C 評估疼痛避免因隱瞞而疏於處理，正確。D 傾聽並提供支持、避免評論，維持治療性關係，正確。","青少年依 Erikson 屬「認同對角色混淆」階段，身體心像與同儕歸屬感是核心議題。誠實告知外觀改變才能協助其建立因應策略（如帽子、防曬、遮瑕），並預防非預期打擊。類固醇脈衝治療副作用含庫欣氏樣外觀、感染風險與骨質疏鬆；護理重在防曬（紫外線誘發狼瘡活化）與情緒支持。",[24,27,29,31],{"term":25,"count":26},"身體心像",2,{"term":28,"count":26},"青少年發展",{"term":30,"count":10},"全身性紅斑性狼瘡",{"term":32,"count":10},"誠實溝通",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-032","下列何者不屬於FLACC行為疼痛評估量表的向度？",32,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-028","小旭，1 歲 3 個月，阿嬤照顧，護理師予事故傷害之預防指導，下列敘述何者最適當？",28,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-maternal-pediatric-022","有關高危險妊娠婦女的相關診斷，下列何者胎兒先天性畸形的機率較高？",22,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-010","有關生產過程中子宮肌肉活動的敘述，下列何者錯誤？",10,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-054","有關青少年憂鬱症的治療與處置，下列何者正確？",54,108,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-2-maternal-pediatric-008","林女士 28 歲，孕前體重 56 公斤，目前懷孕 20 週，此次產檢體重為 64 公斤，血壓為 148\u002F94 mmHg，尿蛋白 1+，下列護理指導何者最適當？",8,109,"2026-09-04",1788510757918]