[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"內外科護理學","medical-surgical",{"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":10},"nurse-114-2-內外科護理學-021","nurse-114-2-medical-surgical-021",114,2,21,"有關瀕死期癌症病人之臨終關懷，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"評估病人面對死亡的調適能力","減少開放性溝通模式","持續給予保證與灌注希望","醫護人員此期採被動方式協助","A",null,[],"本題考點在於瀕死期癌症病人的臨終關懷原則。依安寧療護理念,正確者為 A:應先評估病人面對死亡的調適能力與心理需求,才能提供個別化的支持,故選 A。B 錯誤,應「增加」而非減少開放性溝通,鼓勵病人與家屬表達感受。C 錯誤,瀕死期不應給予不切實際的保證或虛假希望,而應誠實陪伴、協助道別。D 錯誤,醫護人員此期應「主動」評估與滿足病人身心靈需求,而非被動等待。","臨終關懷四道:道謝、道歉、道愛、道別,核心是開放溝通與個別化陪伴。評估調適能力可對照 Kübler-Ross 哀傷五階段(否認、憤怒、討價還價、憂鬱、接受),辨識病人所處階段給予相應支持。「灌注不實希望」違反誠實原則且阻礙病人完成心願,安寧強調的是「希望的重新定義」而非否認現實。",[24,26,29,31],{"term":25,"count":10},"安寧療護",{"term":27,"count":28},"臨終關懷",1,{"term":30,"count":28},"開放性溝通",{"term":32,"count":28},"Kübler-Ross 哀傷階段",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-022","正在接受 sorafenib（Nexavar）治療的癌症病人表示：「服藥後手掌和腳掌都出現脫皮、龜裂、刺痛情形，怎麼會這樣呢？」，下列護理指導何者正確？①洗手時不用力搓洗，穿著寬鬆舒適鞋子 ②可塗擦尿素乳膏或凡士林在患部後穿襪就寢 ③外出須戴帽撐傘防曬，但不可以擦防曬乳 ④皮膚乾癢不適時應給與冰敷或熱敷緩解症狀",22,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-medical-surgical-018","有關慢性靜脈功能不全引起的鬱滯性潰瘍（stasis ulcer）的肢體評估，下列敘述何者正確？①潰瘍部位多發生於足踝內側       ②皮膚出現色素沉著   ③肢體呈現凹陷性水腫   ④趾甲變厚   ⑤腳趾潰瘍",18,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-medical-surgical-012","有關肝硬化造成腹水的機轉，下列何者錯誤？",12,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-medical-surgical-050","有關全身性紅斑性狼瘡的處置，下列何者錯誤？",50,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-014","病人骨盆骨折後第 2 天，突然發生意識改變、呼吸與心跳加速、瘀斑及發燒等徵象，下列何者為病人最可能發生的問題？",14,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-048","成年病人燒傷面積：軀幹正面皮膚發紅且有大片水泡、右上肢前面皮膚呈現灰白色以及有水泡。依九的法則計算其燒傷總體表面積，下列何者正確？",48,109,"2026-09-04",1788510759645]