[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-114-2-精神科與社區衛生護理學-024","nurse-114-2-psychiatric-community-024",114,2,24,"朱先生，罹患思覺失調症兩年多，此次因在屋內焚燒報紙，遭鄰居報警後，強制送醫治療。入病室後，突然走到護理站前，目光敵視、肌肉緊繃、用力拍打窗戶及踢護理站的門，大聲吼叫：「我沒有病，我要出去，不然我就砸破玻璃。」下列何者為暴力介入最優先處置？",{"A":14,"B":15,"C":16,"D":17},"運用言語的技巧讓病人冷靜","設立清楚的限制與規則","尋求支援人力使用身體處理技巧","治療性的關切和情緒支持","C",null,[],"本題考點在於暴力行為升高時的介入優先次序。個案已出現目光敵視、肌肉緊繃、拍打踢門、大聲威脅砸玻璃等「即將施暴」的高危表徵，且言語安撫階段已過，此時「尋求足夠支援人力並運用身體處理技巧」以確保病人與環境安全為最優先，故 C 正確為答案。A 言語安撫技巧適用於激動「早期」，此時已升高至肢體威脅階段，單靠言語不足以控制；B 設立限制與規則亦屬較早期的預防措施；D 治療性關切與情緒支持適用於暴力平息後的處理階段。掌握「暴力介入依激動程度分階，已達肢體威脅時以人力與身體約束保安全為先」即可作答。","暴力處置階梯：早期激動→言語安撫與設限；升高至肢體威脅→動員團隊、環境安全、必要時藥物或身體約束；平息後→減壓、情緒支持與檢討。約束前確保人力充足（通常需 4～5 人）、動作一致、事後密切監測循環與心理狀態並記錄。安全（病人與他人）永遠優先於治療性會談。",[24,26,29,31],{"term":25,"count":10},"安全優先",{"term":27,"count":28},"暴力行為介入",1,{"term":30,"count":28},"激動程度分階",{"term":32,"count":28},"支援人力與身體處理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-psychiatric-community-025","小美與父親在大地震中雙雙遭震垮的房屋壓住，父親當場不幸過世，小美經過急救後，挽回性命，但雙腿截肢。有關災難倖存者在急性期的反應表現，下列何者最不適當？",25,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-psychiatric-community-021","涂先生，41歲，診斷為雙相情緒障礙症，與病友因口角發生攻擊行為，揚言要致其死，經醫囑予約束隔離30分鐘，有關約束隔離的敘述，下列何者正確？",21,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-psychiatric-community-015","陳先生，32 歲，罹患思覺失調症（schizophrenia）已 6 年，入院時顯得散漫，不願意參加病房活動，下列那一項護理措施最適合？",15,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-psychiatric-community-053","某疾病發生率在男性是女性的 5 倍，但是該疾病的盛行率在性別上並無差異，造成此現象最可能的原因為：",53,107,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-109-1-psychiatric-community-017","躁症病人於住院期間，極易受到他人的影響，下列活動安排何者最適宜？",17,109,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-110-1-psychiatric-community-051","社區護理師排定社區健康問題的順序時，下列何者應優先處理？",51,110,"2026-09-04",1788510760604]