[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-020":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-114-3-精神科與社區衛生護理學-020","nurse-114-3-psychiatric-community-020",114,3,20,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於躁症病人過度要求時的行為界限設定。適當措施包括:①以拖延、轉移注意力緩和當下衝動;③給予明確且一致的適當限制(設限),協助病人控制失控行為;④雙方協商後給予部分滿足,兼顧治療關係與界限,三者組合為 C。②執行肢體約束屬最後手段,僅在病人對己或他人有立即危險時才使用,對「要求外出買零食」這類非緊急情境並不適當,故含②的 A、B、D 均排除。","躁症的行為管理核心是「設限」(limit setting)——以溫和堅定、前後一致的態度劃出可接受範圍,而非壓制或放任。設限、轉移、協商屬心理社會層次的優先介入;身體約束是侵入性最高、限制最多的手段,受法規與倫理嚴格規範,須符合立即危險要件並定時評估解除。記法:約束永遠是「最後、最短、最必要」。",[24,26,29,31],{"term":25,"count":10},"轉移注意力",{"term":27,"count":28},"躁症行為設限",1,{"term":30,"count":28},"身體約束適應症",{"term":32,"count":28},"治療性協商",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-psychiatric-community-021","有關家庭暴力，下列敘述何者最適當？",21,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-psychiatric-community-017","有關酒精戒斷症狀的陳述，下列何者錯誤？",17,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-106-1-psychiatric-community-061","下列那一個因素與公害程度成反比？",61,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-psychiatric-community-019","王同學，20 歲，上課時突然站起毆打鄰座同學，表示同學說他壞話，但同學否認，於是班導師將其轉介到心輔室，一星期後又出現攻擊室友的情形，造成室友受傷而報警處理，因王同學當時情緒非常激動，警察將之制伏後送至急診處理，經家屬同意轉至精神科病房接受治療，王同學頻頻詢問這是何處，環伺四周，神情嚴肅，警戒心高，對問話回應簡短，下列護理措施那項最適當？",19,107,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-109-1-psychiatric-community-063","有關細懸浮微粒（PM 2.5 ）之敘述，下列何者錯誤？",63,109,{"webId":60,"stem":61,"number":41,"year":62,"session":43},"nurse-110-2-psychiatric-community-017","有關病人於住院期間憂鬱症的照護，下列敘述何者正確？",110,"2026-09-04",1788510762866]