[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-114-3-精神科與社區衛生護理學-024","nurse-114-3-psychiatric-community-024",114,3,24,"張先生為慢性思覺失調症病人，剛住進康復之家，下列何者是張先生最適當的復健目標？",{"A":14,"B":15,"C":16,"D":17},"培養在社區獨立生活的技能","減少精神藥物服用劑量","規劃外出工作","提升自主性，可自由不夜宿","A",null,[],"本題考點在於康復之家(halfway house)的復健定位與目標設定。康復之家屬社區復健的中繼站,目標是在有支持的環境中訓練病人生活自理、人際互動與情緒管理等能力,為回歸社區獨立生活做準備,故最適當目標為 A。B 錯,是否減量須由醫療評估,病人不應以減藥為復健目標,穩定服藥反而是基礎;C 錯,規劃外出工作是後續職業復健階段,對剛入住者過於躁進;D 錯,不夜宿等自由度提升是進展後的結果而非首要目標,初期仍需結構化生活。","精神復健採階梯式:急性治療→康復之家等社區中繼→日間型或庇護性職場→獨立就業與居住。康復之家強調「生活技能訓練」(如金錢管理、購物、烹飪、服藥自我管理與社交),目標是能獨立生活。設定目標要符合個案當前功能水準,循序漸進;跳級追求就業或自由外宿易造成挫敗與退步。",[24,27,30,33],{"term":25,"count":26},"社區精神復健",5,{"term":28,"count":29},"康復之家",4,{"term":31,"count":32},"生活技能訓練",1,{"term":34,"count":32},"階梯式復健",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-3-psychiatric-community-025","有關日間留院照護，下列敘述何者最適當？",25,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-115-2-psychiatric-community-021","李先生，45 歲，獨居，目前住院已滿 2 個月，曾有干擾家庭與社區的問題，家屬表示無法督促就醫，出院準備服務的評估發現能自我照顧但無病識感，無工作動機，出院後就不想吃藥，不會主動就醫。下列何項是出院準備服務轉介的首選？",21,115,2,{"webId":47,"stem":48,"number":49,"year":50,"session":32},"nurse-106-1-psychiatric-community-065","若當天時間有限，僅夠訪視一個案家，應選擇下列那一個案？",65,106,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-107-2-psychiatric-community-023","武先生，30 歲，診斷為第一型雙相情緒障礙症（昔稱第一型雙極性疾患），目前為躁症發作。護理師給藥時，武先生對護理師說：「我討厭吃藥，吃藥有副作用，昨晚病友打鼾很大聲，很吵，我好想抽菸，抽菸很快樂，醫師何時會來看我，上午或下午…」，武先生的症狀最符合下列何者？",23,107,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-109-1-psychiatric-community-067","承上題，王護理師要了解張太太子宮頸癌追蹤檢查情形，下列那種處置最合宜？",67,109,{"webId":62,"stem":63,"number":43,"year":64,"session":45},"nurse-110-2-psychiatric-community-021","有關躁症發作（manic episode）病人最常見的症狀，下列何者正確？",110,"2026-09-04",1788510762909]