[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-015":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-015","nurse-106-1-psychiatric-community-015",106,1,15,"陳先生，32 歲，罹患思覺失調症（schizophrenia）已 6 年，入院時顯得散漫，不願意參加病房活動，下列那一項護理措施最適合？",{"A":14,"B":15,"C":16,"D":17},"隨時陪在病人身邊督促病人參與病房活動","與病人討論安排日常生活作息，參與病房活動","了解這是疾病造成的負性症狀，並接受這已是病人最好的預後情況","向病人解釋規則活動的重要性，以提升參與活動的動機代號：5106 頁次：8－3","B",null,[],"本題考點在思覺失調症負性症狀(散漫、退縮、動機低落)的護理原則。面對缺乏動機的病人,最適切的是與病人「一起」討論、共同安排可行的日常作息與活動參與,藉結構化與病人自主參與逐步提升功能,故選B。A隨時陪伴督促屬過度介入,易形成依賴且不尊重病人自主。C將現況視為「已是最好預後」而消極接受,牴觸復健與復元精神,等於放棄協助功能維持。D單向「解釋規則活動重要性」只是說教,對負性症狀病人動機提升有限,缺乏共同參與的合作關係,故三者皆不如B。",[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-003","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？",3,{"webId":35,"stem":36,"number":37,"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":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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",6,1783840734833]