[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-021":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-107-1-精神科與社區衛生護理學-021","nurse-107-1-psychiatric-community-021",107,1,21,"簡先生，24 歲，診斷為思覺失調症，個子矮小，沒自信，說話極小聲，從小求學成績不佳，人際關係不好，後來被分派到資源班就讀，常受同學欺負，護理師今天發現個案都躲在房間不願意到大廳活動，與之會談表示某病友昨天傍晚打他，搶他的食物吃，有走到護理站，但不知怎麼跟護理師說。護理師的回應，下列那一項最適切？",{"A":14,"B":15,"C":16,"D":17},"教導病人並示範到護理站時如何尋求協助","要求施暴病友前來向個案道歉","安排時間讓施暴病友與病人當面說明當天發生的情況","告知病人，遇到問題要有基本防禦能力","A",null,[],"本題考點在於慢性精神病人受害後的護理處置原則:賦能與技能訓練優於代勞或對質。個案自幼缺乏自信、人際技巧不足、被欺負時「走到護理站卻不知怎麼說」,顯示核心缺損是「求助表達能力」,依社會技巧訓練原則,護理師應以教導加示範方式讓個案學會如何主動尋求協助,故選 A。B 要求施暴者道歉,焦點放在對方而非提升個案能力,且可能引發衝突。C 安排雙方當面說明,對缺乏自信、易受威脅的個案是二度壓力,不符保護原則。D 告知病人「要有基本防禦能力」屬空泛指責,未提供可操作的技巧,反增其挫敗感。三個錯項的共同盲點都是未針對個案「不會求助」的實際缺損下手。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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",6,1783840742159]