[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-028":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-028","nurse-106-2-psychiatric-community-028",106,2,28,"有關物質使用障礙症病人之照護過程，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"在「接觸期」，強調治療性關係的建立，不宜改變日常生活作息","在「說服期」，宜多運用面質技巧，迫使病人面對自己的困境，此階段並不宜使用動機晤談法","在「積極治療期」，宜加強病人法治觀念，改善交友","在「預防再濫用期」，宜加強行為改變，確認危險因子，以促進預防措施代號：5106 頁次：8－4","D",null,[],"本題考點為物質使用障礙症照護各階段的重點任務。依成癮復元階段，「預防再濫用期」的核心在鞏固已建立的行為改變、辨識高危險因子並強化預防復發措施，故正解為 D。A 錯在接觸期為協助戒治往往需調整作息以脫離用藥情境，「不宜改變作息」不當。B 錯在說服期正是運用動機式晤談促發改變動機，過度面質易引發抗拒，選項卻主張多用面質並排除動機晤談，方向錯誤。C 錯在積極治療期重在戒治的治療性介入，「加強法治觀念、改善交友」屬社會復健的籠統說法，非該期核心。",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",6,1783840738490]