[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-106-2-精神科與社區衛生護理學-027","nurse-106-2-psychiatric-community-027",106,2,27,"有關強迫症之敘述，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"出現強迫行為的兒童知道其強迫行為是過度且不合理的","病人常用的防衛機轉是合理化","必須結合藥物及行為治療","最常出現在中年人","C",null,[],"本題考點為強迫症（OCD）的臨床特徵與治療。依 OCD 治療實證，最有效的做法是結合藥物（SSRI）與行為治療（暴露不反應法 ERP），故正解為 C。A 錯在成人 OCD 病人多能自知強迫症狀過度且不合理，但「兒童」常缺乏此病識感，選項將兒童也一概認定知道其不合理，並不正確。B 錯在 OCD 常見的防衛機轉是抵消（undoing）、隔離（isolation）與反向作用，而非合理化。D 錯在 OCD 好發於青少年至成年早期，並非最常出現於中年人。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"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":28,"stem":29,"number":10,"year":9,"session":22},"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？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"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":22},"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":22},"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":22},"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",6,1783840738486]