[{"data":1,"prerenderedAt":72},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-005":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":43,"lastmod":71},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-004",4,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-006",6,"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":17,"concepts":40},"nurse-108-1-精神科與社區衛生護理學-005","nurse-108-1-psychiatric-community-005",108,1,5,"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？",null,{"A":21,"B":22,"C":23,"D":24},"提出懷疑（voicing doubt）","鼓勵比較（encouraging comparison）","面質（confrontation）","鼓勵評價（encouraging evaluation）","C",[],"本題考點是治療性溝通技巧中面質(confrontation)的辨識。依治療性溝通原則,面質是護理人員以不批判的態度指出病人言語與行為、或自述與事實之間的矛盾,促使病人正視被自己忽略的落差。題幹中護理師先覆述病人自稱把自己照顧得很好,再並列半年多次割腕的事實,正是把兩者的不一致攤在病人面前,故選 C。A 提出懷疑是對病人明顯扭曲的知覺表達溫和的存疑,如「這件事真的是這樣嗎」,並未並列矛盾事實;B 鼓勵比較是請病人把兩個經驗放在一起找出異同,主詞仍是病人自己比較,而非護理人員指出矛盾;D 鼓勵評價是請病人評估某事件或行為對自己的意義與價值,重點在自我評價而非揭露不一致。","面質的使用有其前提與時機,教科書強調必須先有足夠的治療性信任關係、且以關懷而非指責的語氣進行,否則病人易感覺被攻擊而防衛升高,這也是為什麼題幹刻意寫「已住院一個月」——鋪陳關係已建立。技巧速記可用一句話對比:提出懷疑是「真的嗎」,鼓勵比較是「和上次比呢」,鼓勵評價是「你覺得這樣好嗎」,面質是「你說 A,可是發生了 B」。臨床設計上,面質常用於物質使用障礙症、人格障礙症與否認病識感的個案,目的在鬆動否認而非贏得辯論。可連結概念:治療性溝通與非治療性溝通(給保證、給建議、批判、防衛)、病識感、自我傷害行為的評估。",[30,32,34,36,38],{"term":31,"count":17},"治療性溝通技巧",{"term":33,"count":16},"面質 confrontation",{"term":35,"count":16},"提出懷疑 voicing doubt",{"term":37,"count":16},"鼓勵比較 encouraging comparison",{"term":39,"count":16},"治療性關係的信任基礎",[41],{"id":42,"name":31},"therapeutic-communication",[44,46,51,56,61,66],{"webId":9,"stem":45,"number":10,"year":15,"session":16},"「一朝被蛇咬，十年怕草繩」此例子可以運用下列何種理論說明焦慮反應的產生？",{"webId":47,"stem":48,"number":49,"year":15,"session":50},"nurse-108-2-psychiatric-community-022","與高齡老人一同翻閱家族相簿，回憶美好時光與成功經驗，提升其自尊與自信的治療為何？",22,2,{"webId":52,"stem":53,"number":54,"year":55,"session":16},"nurse-109-1-psychiatric-community-036","陳護理師服務於精神護理之家，她需協助住民提升其日常生活照顧功能。下列何項護理處置最適切？",36,109,{"webId":57,"stem":58,"number":59,"year":60,"session":16},"nurse-110-1-psychiatric-community-074","有關聯合國的「永續發展目標」（Sustainable Development Goals; SDGs）之敘述，下列何者錯誤？",74,110,{"webId":62,"stem":63,"number":64,"year":65,"session":50},"nurse-111-2-psychiatric-community-038","陳女士，診斷為思覺失調症，因擅自停藥致病情復發，已入院治療一個月，預計下週辦理出院，有關出院準備的護理措施，下列何者最適當？",38,111,{"webId":67,"stem":68,"number":69,"year":70,"session":50},"nurse-112-2-psychiatric-community-072","根據長期照顧十年計畫 2.0，有關小規模多機能的服務項目，下列敘述何者最不適當？",72,112,"2026-09-29",1790672290537]