[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-114-3-基本護理學與護理行政-008","nurse-114-3-fundamental-nursing-008",114,3,8,"病人有疼痛、呼吸困難、睡眠型態紊亂及身體心像紊亂等健康問題，應最優先處置的健康問題為何？",{"A":15,"B":16,"C":17,"D":18},"疼痛","呼吸困難","睡眠型態紊亂","身體心像紊亂","B",null,[],"本題考點在於健康問題優先順序的排序原則。依馬斯洛需求層次與生命維持ABC原則，呼吸屬最基本的生理需求，缺氧會迅速危及生命，故在疼痛、呼吸困難、睡眠型態紊亂與身體心像紊亂之中，(B)呼吸困難應最優先處置，故選B。(A)疼痛雖屬生理需求但危急性次於呼吸;(C)睡眠型態紊亂為較低順位的生理需求;(D)身體心像紊亂屬心理社會層次，優先性最低，皆不如維持呼吸道與換氣來得急迫。","排序常用馬斯洛(生理>安全>愛與歸屬>自尊>自我實現)與ABC(Airway、Breathing、Circulation)兩把尺。凡威脅呼吸道通暢與換氣者永遠優先，因缺氧數分鐘即致命。記憶要訣:先救『命關天』的生理危機、再處理不適、最後才是心理社會議題;同屬生理需求時，再以『威脅生命的速度』細分，呼吸永遠排在疼痛與睡眠之前。",[25,28,31,34],{"term":26,"count":27},"馬斯洛需求層次",7,{"term":29,"count":30},"ABC原則",5,{"term":32,"count":33},"健康問題優先順序",2,{"term":16,"count":33},[36,40,44,50,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-fundamental-nursing-009","病人表情平淡地對護理師說：「我現在好痛，需要止痛針」，護理師表情疑惑地看著病人。依據伯儂（Berlo）溝通模式，下列敘述何者最不適當？",9,{"webId":41,"stem":42,"number":30,"year":43,"session":33},"nurse-115-2-fundamental-nursing-005","護理記錄書寫中主、客觀資料的相關敘述，下列何者正確？",115,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-106-1-fundamental-nursing-049","下列何者屬於低張性靜脈輸液？",49,106,1,{"webId":51,"stem":52,"number":27,"year":53,"session":33},"nurse-107-2-fundamental-nursing-007","護理師照顧後天免疫缺乏症候群病人預期可能接觸到血液時，不須採用下列何項隔離防護措施？",107,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-108-2-fundamental-nursing-051","護理師告知入院病人相關的權利敘述中，不包含下列何者？",51,108,{"webId":60,"stem":61,"number":30,"year":62,"session":49},"nurse-110-1-fundamental-nursing-005","護理人員跟隨醫師巡視住院病人的主要專業角色，下列敘述何者正確？",110,"2026-09-04",1788510761476]