[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-025":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-025","nurse-107-1-psychiatric-community-025",107,1,25,"有關蘇小姐因強迫症嚴重住院治療，常出現重複洗手行為，下列治療策略何者最適切？",{"A":14,"B":15,"C":16,"D":17},"不宜進行蘇小姐思考與感受的觀察，應直接進行行為治療","以系統減敏法改善重複洗手行為","採用洪水法，立即讓蘇小姐不斷去面對畏懼的情境，迅速降低焦慮","洗手行為一出現時立即約束隔離，強制進行四肢約束，以降低焦慮代號：5106 頁次：8－4","B",null,[],"本題考點是強迫症重複行為的行為治療選擇與原則。依系統減敏法(systematic desensitization)原理,透過建立焦慮階層、配合放鬆訓練,由低到高逐步暴露以漸進降低焦慮,對重複洗手這類與焦慮連動的行為屬適切且人道的治療,故選 B。A 錯在主張「不宜觀察病人思考與感受」,認知與情緒評估是行為治療的重要基礎,不可略過。C 洪水法(flooding)雖屬暴露治療,但「立即、不斷面對畏懼情境以迅速降焦慮」對嚴重個案風險高、易造成過度壓力,非本題最適切選項。D 洗手一出現即約束隔離、強制四肢約束,屬懲罰性與剝奪性處置,違反最小限制原則,不是治療。四選項中僅 B 兼顧漸進與安全。",[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",6,1783840742203]