[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-036":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-036","nurse-106-2-psychiatric-community-036",106,2,36,"王先生 44 歲，原於山上種植咖啡，去年遭受嚴重風災導致咖啡園全毀及妻子去世之雙重打擊，下列何者為首要的照護措拖？",{"A":14,"B":15,"C":16,"D":17},"減少王先生表達對創傷事件的感覺，以免衍生自責及導致創傷後壓力症","減少王先生的環境操控，僅保留現有支持系統，避免多餘的刺激或壓力","著重王先生的問題如何影響他眼前的生活，運用其優點及支持系統，提供立即性的支持渡過危機","依卡普蘭危機理論，4～6 個月之內王先生的心理最易受傷害，也最能接受幫助，因此處置時間以 4～6 個月為原則","C",null,[],"本題考點為危機介入的首要照護原則。依危機介入理論,面對急性創傷者,首要在協助個案聚焦「此時此地(here and now)」對現實生活的影響,運用其既有優點與支持系統,提供立即性支持以協助渡過危機,故選 C。A 抑制個案表達創傷感受違反危機處理原則,情緒宣洩本身具療癒性,不應壓抑;B「減少環境操控、僅保留現有支持」過於消極,危機介入應積極動員資源而非限縮;D 誤植卡普蘭(Caplan)理論,危機的心理易受傷害期通常為 4～6 週而非 4～6 個月,危機介入本質是短期(約 6 週內)的處置。判斷關鍵在危機介入「聚焦當下、動員資源、短期立即」三原則。",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",6,1783840738559]