[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-023":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-023","nurse-107-1-psychiatric-community-023",107,1,23,"有關心理防禦機轉之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"強迫行為源自抵消作用（undoing）目的是藉由某象徵性行為以消除不被接受的行為或想法","強迫思考源自轉移作用（displacement）目的是將某物體所引發的強烈感受轉向另一個較不具威脅性的物體，並迴避之，以降低焦慮","強迫思考源自反向作用（reaction formation）目的在過度使用條理、邏輯、遵守規範以避免出現焦慮感","強迫行為源自理智化（intellectualization）目的有意識地將引起焦慮的痛苦感受與經驗隔除在意識層面外","A",null,[],"本題考點是心理防禦機轉的定義配對。依 Freud 防禦機轉分類,抵消作用(undoing)指以某象徵性行為去「取消、彌補」先前不被接受的想法或衝動,強迫行為(如反覆洗手、檢查)正是以儀式動作抵消焦慮或罪惡感,定義與機轉相符,故選 A。B 錯在把強迫思考歸為轉移作用(displacement),轉移是將情緒導向較不具威脅的對象,與強迫思考的本質不合。C 錯在反向作用(reaction formation)的定義,反向是表現出與真實感受相反的行為,題目所述「過度使用條理邏輯」其實是理智化的描述,配錯了。D 錯在把強迫行為歸為理智化(intellectualization),且理智化的定義是以抽象思考隔離痛苦情感,與「行為」不符。",[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",6,1783840742171]