[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-011":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-114-2-精神科與社區衛生護理學-011","nurse-114-2-psychiatric-community-011",114,2,11,"董先生 44 歲，擔任貿易公司科長，近 2 個月來，出現食慾差、體重下降、失眠，感覺人生沒有希望，有自殺企圖，入院治療。下列護理措施何項最優先？",{"A":14,"B":15,"C":16,"D":17},"分析壓力的來源","安排工作治療","提供營養諮詢","預防自我傷害","D",null,[],"本題考點在於重度憂鬱伴自殺企圖個案的護理優先次序。個案已有食慾差、體重下降、失眠、無望感並有自殺企圖，依馬斯洛需求層次與安全優先原則，「維護生命安全、預防自我傷害」是最優先處置，故 D 正確為答案。A 分析壓力來源、B 安排工作治療、C 提供營養諮詢皆屬後續的心理與生理照護措施，須在確保個案安全、無立即自傷風險後才進行。面對具自殺企圖的個案，任何治療都以「先保命」為前提，故預防自我傷害優先於探討壓力、營養與職能活動。","自殺防治優先原則：安全第一，移除危險物品、加強觀察、簽署不自傷約定、必要時一對一看護。憂鬱症在「情緒開始好轉、體力恢復」時反而是自殺高風險期（有能量執行計畫），須特別警覺。護理排序口訣：生理危及生命＞安全＞其他心理社會需求。",[24,27,30,33],{"term":25,"count":26},"馬斯洛需求層次",10,{"term":28,"count":29},"自殺風險評估",7,{"term":31,"count":32},"重度憂鬱症",1,{"term":34,"count":32},"安全優先原則",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-psychiatric-community-012","宋先生，第一型雙相情緒障礙症（bipolarⅠdisorder）躁症發作（manic episode），住院後常語帶操縱或威脅地命令病友，強占遊戲主導權，引起病友公憤。針對宋先生的操縱行為，下列何項護理措施最適當？",12,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-115-1-psychiatric-community-008","有關家庭結構評估，下列何者屬於內在結構？",8,115,{"webId":46,"stem":47,"number":10,"year":48,"session":32},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",106,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-107-1-psychiatric-community-040","護理師執行暴力處置時須對病人採取隔離與約束措施，針對「拘束病人身體或限制其行動自由」，依精神衛生法施行細則第 6 條規定，應依醫囑為之，有關醫囑規定內容，應包含下列何項？①方式 ②理由 ③病人的意願 ④評估頻率 ⑤起訖時間",40,107,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-109-1-psychiatric-community-004","護理師在精神科病房帶領團體治療，鼓勵病人與他人分享生病感受，並在團體中表示感謝其他病人對他的包容、接納與信任，此活動運用下列何項精神護理概念模式？",4,109,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-110-1-psychiatric-community-038","對於自殺行為與精神疾病之敘述，下列何者錯誤？",38,110,"2026-09-04",1788510760471]