[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-1-精神科與社區衛生護理學-011","nurse-114-1-psychiatric-community-011",114,1,11,"​宋 小姐因情緒低落且有自殺行為，入院治療已兩週，常一個人臥床獨處，少與其他病友互動。下列何項護理措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"配合病人低落心情，環境宜減少光線刺激","​提 供安靜的單人房，減少打擾病人","​播 放低沉的音樂，避免刺激病人","​設 計簡單的活動，增加病人活動","D",null,[],"本題考點在於憂鬱且有自殺行為個案退縮臥床時的護理措施。依憂鬱症護理原則，過度退縮獨處會強化負向思考與無助感，護理目標在於循序漸進增加病人與外界的互動與活動量，故應設計簡單、易完成的活動以提升成就感與人際接觸，選 D。A「減少光線刺激」會使環境更陰暗低沉，反而助長憂鬱情緒，不宜。B「提供單人房減少打擾」等同放任其退縮孤立，與增加互動的目標背道而馳。C「播放低沉音樂」會加深情緒低落，且需注意音樂治療應選擇能緩和提振者而非沉鬱曲調。四者中唯有 D 符合逐步引導參與、避免強化退縮的原則，故正解為 D。","憂鬱護理重點：由簡單、短時、成功機率高的活動開始，累積成就感以打破無助循環，並藉活動維持人際連結與觀察自殺線索。避免一次安排過難活動造成挫折。臥床退縮者的陪伴不等於放任獨處。",[24,27,30,32],{"term":25,"count":26},"自殺防治",3,{"term":28,"count":29},"憂鬱症護理",2,{"term":31,"count":10},"行為活化",{"term":33,"count":10},"社會退縮",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-psychiatric-community-012","陳同學19歲，出現怪異行為，診斷為思覺失調症。因為干擾鄰居被送至精神科急性病房住院。入院時，說自己沒有生病，吵著要出院回家。以下何項護理措施最適切？",12,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-114-3-psychiatric-community-008","李先生的妻女在一次意外事件中相繼過世，有關李先生對此事件的心理調適防衛機轉，下列敘述何者最適當？",8,{"webId":44,"stem":45,"number":29,"year":46,"session":29},"nurse-115-2-psychiatric-community-002","有關精神障礙病人在復元過程的敘述，下列何者正確？",115,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-106-2-psychiatric-community-070","配合 0～7 歲兒童的疫苗接種時程，我國全民健康保險規劃補助幾次的兒童預防保健門診？",70,106,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-108-2-psychiatric-community-034","社區心理衛生的工作實務中，下列何者屬於次級預防工作？",34,108,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-109-2-psychiatric-community-068","某糖尿病學童在校發生手抖及冒冷汗現象，學校護理師測量其血糖為 55 mg\u002FdL，下列何者護理處置最適當？",68,109,"2026-09-04",1788510758174]