[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-034":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-034","nurse-107-1-psychiatric-community-034",107,1,34,"有關「去機構化運動」之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"病人宜儘早回歸社區，以穩定症狀","病人長期住院後，易產生機構化現象，因此宜避免長期住院情形","應協助病人做好在社區獨立生活的能力，才能出院","去機構化是指所有病人皆不應住在機構之中代號：5106 頁次：8－5","B",null,[],"本題考點是去機構化運動的核心理由。依機構化理論,病人長期住院會逐漸喪失自主與生活功能、過度依賴機構常規而產生「機構化現象」,故去機構化主張避免不必要的長期住院、協助回歸社區,選項 B 正確點出此因果。A 錯在「儘早回歸社區以穩定症狀」的邏輯,回歸社區的目的是維持功能與生活品質,不是為了「穩定症狀」,順序與目的都失焦。C 錯在把「先具備社區獨立生活能力才能出院」當作條件,這與去機構化精神相反,能力是回歸社區後持續培養的,不應成為出院的門檻。D 錯在絕對化,去機構化並非主張「所有病人皆不應住在機構」,重症或需保護者仍需適當機構照護,重點是避免不必要的長期住院。故 B 最正確。",[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",6,1783840742312]