[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-004":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":44,"lastmod":72},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-003",3,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-005",5,"psychiatric-community",{"id":13,"webId":14,"year":15,"session":16,"subject":4,"number":17,"stem":18,"scenario":19,"carryOver":19,"options":20,"answer":25,"answerNote":19,"images":26,"explanation":27,"explanationDeep":28,"topics":29,"freq":7,"concepts":40},"nurse-108-1-精神科與社區衛生護理學-004","nurse-108-1-psychiatric-community-004",108,1,4,"有關佩普洛（Peplau）概念的敘述，下列何者正確？①護病關係的介紹期、認同期、工作期及結束期，是重疊及連接的　②強調護理人員使用治療性人際溝通技巧和病人建立關係　③協助病人將現在的經驗與其他經驗統合　④透過轉移關係來幫助病人了解自己",null,{"A":21,"B":22,"C":23,"D":24},"①②③","②③④","①③④","①②④","D",[],"本題考點是 Peplau 人際關係護理理論的核心主張。依 Peplau 理論,護病關係分為介紹期、認同期、工作期與結束期,四期在實務上並非截然切割而是重疊延續(①正確);其理論基礎在於護理人員運用治療性人際溝通技巧與病人建立關係,並藉此促成人格成長(②正確);Peplau 承襲 Sullivan 人際學派,認為病人會把過去重要他人的情感帶入護病關係,護理人員可運用此轉移關係協助病人認識自己(④正確),故選 D。③錯在「協助病人將現在的經驗與其他經驗統合」偏向精神分析取向對過去經驗的探究與整合,並非 Peplau 四期關係中所強調的重點,Peplau 聚焦於此時此地的人際互動歷程。","Peplau 被稱為精神科護理之母,其貢獻在於把護理從「照顧身體」推向「有目的的人際歷程」。她提出護理人員的六種角色可用來對照四期:陌生人角色與資源人角色多在介紹期,教導者與諮詢者角色貫穿工作期,代理者角色多在認同期,領導者角色則視情境調整。四期任務速記:介紹期建立信任與訂契約,認同期病人選擇性依附並表達感受,工作期解決問題與學習新因應,結束期整理成果並處理分離焦慮。要注意結束期不是最後一天才開始,而應在介紹期就先預告時限,以降低被遺棄感。這個「重疊而非切斷」的性質正是①之所以正確的理由。可延伸複習:Sullivan 人際理論、治療性人際關係與社交性關係的差異、護理人員的自我覺察與情感反轉移。",[30,32,34,36,38],{"term":31,"count":7},"Peplau 人際關係理論",{"term":33,"count":16},"護病關係四期",{"term":35,"count":16},"治療性人際溝通",{"term":37,"count":16},"轉移關係 transference",{"term":39,"count":16},"Sullivan 人際學派",[41],{"id":42,"name":43},"therapeutic-relationship","治療性人際關係與護病關係",[45,47,52,57,62,67],{"webId":9,"stem":46,"number":10,"year":15,"session":16},"李小姐已住院一個月和護理師會談提到：「一直以來只相信自己，也獨力把自己照顧得很好。」護理師回應表示：「你認為自己把自己照顧得很好，最近半年出現多次割腕的狀況是發生什麼狀況？」此回應是屬於何種治療性溝通技巧？",{"webId":48,"stem":49,"number":50,"year":15,"session":51},"nurse-108-2-psychiatric-community-021","有關鬱症病人之急性期照護的敘述，下列何者最適當？",21,2,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-035","下列何項描述最符合精神護理之家服務對象的特徵？",35,109,{"webId":58,"stem":59,"number":60,"year":61,"session":16},"nurse-110-1-psychiatric-community-073","有關長期照護的敘述，下列何者不適當？",73,110,{"webId":63,"stem":64,"number":65,"year":66,"session":51},"nurse-111-2-psychiatric-community-037","在精神護理之家的護理人員以住民為中心，提供連續性、持續性的照顧，於其角色功能，下列何者正確？①醫療疾病診斷者 ②聯繫者 ③策畫者 ④協調者 ⑤個案管理者",37,111,{"webId":68,"stem":69,"number":70,"year":71,"session":51},"nurse-112-2-psychiatric-community-071","依據職業安全衛生設施規則，雇主應對長期處於高噪音環境之勞工實施安全防護，下列何者錯誤？",71,112,"2026-09-29",1790672290524]