[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-114-1-精神科與社區衛生護理學-009","nurse-114-1-psychiatric-community-009",114,1,9,"胡先生，診斷為思覺失調症，因不停將家中東西丟到大街上，哥哥予以制止，胡先生即要攻擊哥哥。剛入住急性病房治療，下列何者為最優先的護理處置？",{"A":14,"B":15,"C":16,"D":17},"確認胡先生身邊環境與物品的安全性，進行暴力行為之評估與預防發生","直接先至保護室並給予預防性約束，以免發生自傷傷人行為","警告胡先生在醫院裡面不容許有攻擊行為發生，否則就無法出院","為表達護理師的關懷與建立信任，可先單獨與病人會談了解他為何要攻擊哥哥","A",null,[],"本題考點在於暴力風險個案入院的最優先護理處置。依精神科安全護理原則，急性期首要目標是維護病人與他人安全，且處置應由最低限制、非侵入性者優先，故應先確認環境與物品安全性並進行暴力行為評估與預防，選 A。B「直接給予預防性約束」屬最高限制手段，未經評估即約束違反最小限制原則，不宜作為第一步。C「警告否則無法出院」是威脅語氣，會升高敵意、破壞治療關係，且違反病人權益。D「單獨會談了解原因」在暴力風險未評估、安全未確保前單獨接觸病人，將護理師置於危險，時機不當。四者相較，唯有 A 兼顧安全評估與最小限制，故正解為 A。","暴力處置遵循「評估→非藥物介入（口語安撫、降低刺激）→藥物→約束」的階梯，約束為最後手段。記憶重點：安全永遠第一，且先評估再處置；預防性約束需有明確危險依據並符合法規程序，不可未評估即施行。",[24,27,30,33],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":29},"病人安全",3,{"term":31,"count":32},"身體約束",2,{"term":34,"count":10},"暴力行為評估",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-psychiatric-community-010","根據DSM-5診斷準則，有關情感思覺失調症（schizoaffective disorder）的敘述，下列何者正確？",10,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-114-3-psychiatric-community-006","有關抗焦慮藥戒斷症狀，下列何者正確？",6,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-115-1-psychiatric-community-050","有關代謝症候群及其健康照護的敘述，下列何者最適當？",50,115,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-106-2-psychiatric-community-068","小李食用真空包裝豆乾，半天後出現噁心、嘔吐、吞嚥困難及口乾、看不清楚、呼吸漸喘等症狀，最有可能是下列何種狀況？",68,106,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-108-2-psychiatric-community-032","罹患分離焦慮症（separation anxiety disorder）的兒童，其護理重點為何？①增強病童的安全感 ②增加分離的次數 ③教導病童的因應能力 ④訓練病童的獨立性",32,108,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-109-2-psychiatric-community-066","有關兒童視力保健方法的敘述，下列何者最適當？",66,109,"2026-09-04",1788510758146]