[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-039":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-039","nurse-106-2-psychiatric-community-039",106,2,39,"中風臥床多年的周爺爺，兩週前在睡眠中與世長辭，周奶奶正處於悲傷急性期的情境中，在這個階段，照護喪偶的周奶奶，下列那一事項並不急於在此時進行？",{"A":14,"B":15,"C":16,"D":17},"鼓勵周奶奶表達其感覺與想法，並給予情緒上之支持","鼓勵周奶奶積極參與自我成長的活動","評估周奶奶是否出現自我傷害的意念或行為","協助周奶奶維持正常的飲食與生活作息","B",null,[],"本題考點為悲傷急性期的照護重點,採「並不急於此時進行」的排除題型。依悲傷輔導理論,喪偶急性期(哀悼初期)重點在情緒支持、安全維護與維持基本生活功能;鼓勵積極參與自我成長活動屬於悲傷後期、個案逐漸接受失落並重建生活時才適合推動,在急性期反而可能形成壓力,故選 B 為此時不急於進行者。A 鼓勵表達感覺並給予情緒支持是急性期核心;C 評估自我傷害意念因喪親者自殺風險升高而屬急性期必要評估;D 協助維持正常飲食與作息以防生理耗弱,亦為急性期基本照護。判斷關鍵在辨識悲傷歷程「先支持穩定、後成長重建」的時序。",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",6,1783840738588]