[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-精神科與社區衛生護理學-003","nurse-106-1-psychiatric-community-003",106,1,3,"一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",{"A":14,"B":15,"C":16,"D":17},"解離作用（dissociation）","合理化作用（rationalization）","抵消作用（undoing）","幻想作用（fantasy）","A",null,[],"本題考點為心理防衛機轉的辨識。個案承認遭父親性侵卻完全記不起過程,情緒潰堤時又能詳細描述,顯示創傷記憶被隔離於意識之外、與情緒暫時分裂,依此為解離作用(dissociation),故選A。B合理化作用是為難以接受的行為找看似合理的藉口;C抵消作用是以象徵性行為抵銷先前的想法或行為;D幻想作用是以想像滿足現實中無法達成的需求。本題核心是記憶與意識的隔離,符合解離,而非找藉口、抵銷或想像,故其餘選項皆不符。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-psychiatric-community-007","會談中護理師說：「你有什麼事想告訴我？」「我們從那兒談起？」這屬於治療性溝通中的何種技巧？",7,1783840734719]