[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-047":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":26},"nurse-114-3-精神科與社區衛生護理學-047","nurse-114-3-psychiatric-community-047",114,3,47,"有關失智症個案照護之目標，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"維持個案最佳的生活狀態","提供安全的生活環境","提供多元且多變化的照護環境與模式","提供有尊嚴的生活","C",null,[],"本題考點在於失智症照護的環境設計原則,本題為反向題,最不適當的敘述為 C。依失智症照護準則,失智個案因記憶與定向感退化,對新環境的學習與適應能力差,照護環境應強調「穩定、規律、一致、熟悉」,以降低混亂、焦躁與遊走等行為精神症狀(BPSD);C 主張提供「多元且多變化」的環境與模式,恰與此原則相反,頻繁變動會加重定向感障礙與不安,故錯誤。A 正確,照護目標是在疾病進程中維持個案最佳生活功能狀態;B 正確,失智者有跌倒、走失、誤食等風險,安全環境是基本目標;D 正確,尊嚴照護(以人為中心照護)是失智照護的核心價值。","失智症照護環境設計可用「三定原則」記:定人(照顧者固定)、定點(環境擺設固定)、定時(作息規律)。病生理上,失智者海馬迴與大腦皮質退化,無法形成新記憶,只能依賴殘存的舊有習慣與程序記憶運作,因此「熟悉感」就是他們的認知輔具;環境一變,等於把輔具抽走,BPSD(遊走、日落症候群、激動)隨之惡化。這也是為什麼失智者入住機構或搬家後常出現急遽退化。與 Kitwood 的「以人為中心照護」(person-centered care)概念連結:維持功能、確保安全、保有尊嚴三者是教科書列出的照護目標,而「多變化」從來不在其中——刺激可以多元(如懷舊治療、音樂治療),但「環境與生活結構」必須穩定,兩者不可混為一談,這正是本題的命題陷阱。",[24,27,30,32],{"term":25,"count":26},"行為精神症狀(BPSD)",2,{"term":28,"count":29},"失智症照護環境穩定一致原則",1,{"term":31,"count":29},"以人為中心照護",{"term":33,"count":29},"失智症照護目標(功能、安全、尊嚴)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-psychiatric-community-048","根據長期照顧十年計畫 2.0，有關喘息服務，下列敘述何者最不適當？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-psychiatric-community-044","有關職業衛生護理師應用三段五級進行健康服務之敘述，下列何者最不適當？",44,115,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-2-psychiatric-community-008","根據溝通分析理論（Transactional Analysis），護理師告訴病人：「參加活動可以幫助你增加社交技巧的能力。」病人回應表示：「我好累喔，拜託讓我休息嘛。」這是屬於何種溝通型態？",8,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-psychiatric-community-046","依據勞動基準法第 52 條規定，除規定之休息時間外雇主應每日另提供產後職業婦女幾次哺乳時間？",46,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-109-2-psychiatric-community-010","團體成員在團體中，覺得自己的問題不再是那麼特殊，可以分享各自的感受，而得到相互支持，這項團體的治療性因子，下列何項正確？",10,109,{"webId":60,"stem":61,"number":42,"year":62,"session":26},"nurse-110-2-psychiatric-community-044","未滿 1 歲 6 個月的兒童，全民健保提供幾次兒童預防保健服務？",110,"2026-09-04",1788510763121]