[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-023","nurse-114-1-psychiatric-community-023",114,1,23,"楊太太擔心自己罹患大腸癌，經多次檢查皆正常，但她仍深信自己不久人世，變得無食慾、失眠，有輕生念頭。下列何項為最優先的護理措施？",{"A":14,"B":15,"C":16,"D":17},"教導紓解壓力的方法","再做詳盡健康檢查，降低憂鬱","評估自殺的風險程度","鼓勵寫遺囑，降低焦慮","C",null,[],"本題考點在於疑病且已出現輕生念頭個案的照護優先順序。依危機處置與自殺防治原則，當個案出現自殺意念時，安全評估永遠優先，故最優先措施是評估自殺風險程度（意念、計畫、方法、可行性），選 C。A「教導紓壓方法」屬後續處置，未先評估安全即介入不當。B「再做詳盡健康檢查」會強化其疾病關注、加重疑病，且反覆檢查已證實正常，無助於問題核心。D「鼓勵寫遺囑」極為危險，可能被個案理解為對自殺的默許，恐加速自殺行為，絕不可行。四者中唯 C 直接處理立即的生命安全風險，故正解為 C。","自殺風險評估重點：直接詢問是否有自殺念頭並不會誘發自殺，反而能建立信任並評估危險度；評估內容含意念強度、具體計畫、可用方法、既往企圖與保護因子。安全第一是精神科貫穿所有情境的最高原則。",[24,27,30,32],{"term":25,"count":26},"自殺風險評估",7,{"term":28,"count":29},"危機處置",4,{"term":31,"count":10},"疑病症",{"term":33,"count":10},"安全第一",[35,39,44,50,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-psychiatric-community-024","有關社區精神衛生護理的角色功能，下列何者最適切？",24,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-psychiatric-community-020","躁症病人常到護理站做出過多的要求，例如外出買零食，下列護理措施何者適當？①拖延轉移注意力 ②執行肢體約束 ③給予適當的限制 ④雙方協商給予部分滿足",20,3,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-115-2-psychiatric-community-014","一位 30 歲男性，診斷反社會型人格障礙，因酒駕肇事被強制送醫，住院期間不斷抱怨醫院伙食、環境，並對醫護人員咆哮，甚至出現言語威脅。下列那項護理措施最為適切？",14,115,2,{"webId":51,"stem":52,"number":49,"year":53,"session":10},"nurse-107-1-psychiatric-community-002","精神科護理師執行病人行為治療的過程中，有關行為治療在臨床運用之陳述，下列何項正確？ ①建立個案的增強物 ②評估個案的改變意願 ③收集個案的問題行為 ④醫療團隊人員分別規劃執行",107,{"webId":55,"stem":56,"number":57,"year":58,"session":49},"nurse-108-2-psychiatric-community-046","張護理師想要開立 49 床一般護理之家，下列那一個聘用照護人力方式，能夠符合法規最低人力規範？",46,108,{"webId":60,"stem":61,"number":62,"year":63,"session":49},"nurse-109-2-psychiatric-community-080","張老太太是中度失智症個案，近日家屬對個案常尿濕褲子而困擾，有關社區護理師的護理指導，下列何者最適當？",80,109,"2026-09-04",1788510758277]