[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-028":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-028","nurse-107-1-psychiatric-community-028",107,1,28,"承上題，護理師對古先生入院時，有關生理、心理、社會、智能以及靈性五大層面評估的重點，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"進行社會層面的評估，包括海洛因的使用型態、使用影響、危險因子","進行心理層面評估時，護理師必須覺察自己對成癮行為的價值、態度與感受","評估智能層面時，常見此類個案的無效防禦機轉為投射與外射行為","有關社會層面的評估，強調對物質的渴求與生命之無望感","B",null,[],"本題考點是成癮個案生理—心理—社會—智能—靈性五大層面評估的正確歸類與自我覺察。依治療性關係原則,護理師面對成癮行為時,必須先覺察自己對成癮的價值觀、態度與感受,以免污名化或反移情影響照護,此屬心理層面評估的重點,故選 B。A 錯在層面歸類:海洛因的使用型態、影響與危險因子屬「生理\u002F物質使用」層面評估,非社會層面。C 錯在智能層面被塞入防禦機轉內容,投射與外射屬心理防禦而非智能功能,智能層面評估的是認知、判斷等能力。D 錯在把「對物質的渴求與無望感」歸為社會層面,渴求屬生理心理、無望感屬心理與靈性,與社會層面(家庭、經濟、支持系統)不符。四選項比較後,僅 B 的層面與內容一致。",[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",6,1783840742240]