[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-精神科與社區衛生護理學-019","nurse-114-3-psychiatric-community-019",114,3,19,"躁症病人於住院期間之護理，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"安排競爭性活動，以宣洩過多體力","護理師應直接駁斥病人誇大性談話內容","鼓勵病人睡前增加運動量，以促進睡眠品質","飲食的攝取宜選擇高熱量易消化之食物","D",null,[],"本題考點在於躁症急性期的護理原則。躁症病人活動量大、能量消耗高卻無病識感,依其代謝需求應提供高熱量、高蛋白、易攜帶且易消化的食物(甚至可邊走邊吃的手拿食物),以補充過度活動的消耗並避免因坐不住而進食不足,故 D 最適當。A 錯,競爭性活動會加重激動與衝突,應安排非競爭、耗能的單純活動;B 錯,直接駁斥誇大內容易引發對立與攻擊,宜不批判地轉移;C 錯,睡前增加運動量會更亢奮而妨礙睡眠,應減少刺激。","躁症護理的主軸是「降低刺激、保護安全、維持基本生理需求」。因病人分心、坐立難安,正餐常吃不完,故以高熱量手拿食物補足熱量與水分,防脫水與體重下降。環境應簡化、避免競爭與嘈雜;溝通用簡短、堅定、不爭辯的態度。對照失眠問題,睡前該減少而非增加活動量,並降低咖啡因攝取。",[24,26,29,32],{"term":25,"count":10},"非競爭性活動",{"term":27,"count":28},"環境刺激控制",2,{"term":30,"count":31},"躁症急性期護理",1,{"term":33,"count":31},"高熱量易消化飲食",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-115-2-psychiatric-community-016","有關身體症狀障礙症（somatic symptom disorder）的敘述，下列何者最適當？",16,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-psychiatric-community-060","有關廢棄物處理程序的描述，下列何者錯誤？",60,106,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-107-2-psychiatric-community-018","林先生，正處於躁症急性期，最近因忙碌進食量減少，目前服用鋰鹽（lithium carbonate），出現腹瀉、手抖、噁心嘔吐等現象，下列何者為最優先的處置？",18,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-psychiatric-community-062","下列何項不屬於物理性的公害？",62,109,{"webId":60,"stem":61,"number":42,"year":62,"session":28},"nurse-110-2-psychiatric-community-016","林小姐入院診斷為憂鬱症，常向護理師表示自己做錯事害得父母離婚，又因為自己不夠好，所以男友跟她分手。下列何項回應最適當？",110,"2026-09-04",1788510762862]