[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-008":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":45,"lastmod":72},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-007",7,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-009",9,"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":32,"concepts":41},"nurse-108-1-精神科與社區衛生護理學-008","nurse-108-1-psychiatric-community-008",108,1,8,"精神科病房特別重視治療性環境之營造，有關環境治療之原則，下列何者正確？①設施兼具人性化與家庭化　②活動設計宜達整體一致性　③讓病人有機會參與環境的決策　④工作人員成為病人的角色模範",null,{"A":21,"B":22,"C":23,"D":24},"①②③","①②④","①③④","②③④","C",[],"本題考點是環境治療(milieu therapy)的基本原則。依環境治療理論,治療性環境須具備人性化與家庭化的設施,使病房接近正常生活情境以利社會功能維持(①正確);應讓病人參與環境規範與活動的決策,藉由自我管理提升自尊與責任感(③正確);工作人員的言行本身就是社會學習的示範來源,應成為病人的角色模範(④正確),故選 C。②錯在「活動設計宜達整體一致性」,環境治療強調依病人的病情、功能程度與個別需求做彈性且分級的活動安排,若要求全體一致反而忽略個別性,違背個別化照護原則。","環境治療的四大功能可速記為「安全、支持、結構、參與」:提供人身安全與情緒安全、營造被接納的支持氣氛、以規律作息與清楚規範提供結構、鼓勵病人參與決策形成治療性社區(therapeutic community)。Maxwell Jones 提出的治療性社區概念強調民主化、共同體感、寬容與現實面對,病房會議即是其具體展現。設計此考點的用意在於矯正一個常見誤解:治療性環境不等於管理方便,凡是選項出現「一律」「嚴格限制」「統一」等字眼,通常與個別化及自主原則相牴觸,是命題者慣用的錯項標記。可延伸複習:治療性社區的病房會議、保護室與約束的最少使用原則、病房作息表與活動治療的分級安排。",[30,33,35,37,39],{"term":31,"count":32},"環境治療 milieu therapy",2,{"term":34,"count":32},"治療性社區",{"term":36,"count":32},"病人參與決策",{"term":38,"count":16},"個別化照護原則",{"term":40,"count":16},"角色模範與社會學習",[42],{"id":43,"name":44},"milieu-therapy","環境治療與治療性環境",[46,48,52,57,62,67],{"webId":9,"stem":47,"number":10,"year":15,"session":16},"周護理師為避免影響到病房的安寧，會去遏止正在嬉鬧的兩位病友，當病友安靜後會獲得護理師的稱讚，有關行為治療的原則中對周護理師的護理行為敘述，下列何者正確？",{"webId":49,"stem":50,"number":51,"year":15,"session":32},"nurse-108-2-psychiatric-community-025","下列何者是貝克（Beck）提出憂鬱的認知觀點？①兩極化想法（polarized thinking） ②獨斷推論（arbitrary inference） ③過度類化（over generalization） ④自閉思考（autistic thinking）",25,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-039","有關自殺行為的敘述，下列何項最適切？",39,109,{"webId":58,"stem":59,"number":60,"year":61,"session":16},"nurse-110-1-psychiatric-community-077","李先生是高血壓個案，喜愛從事的休閒活動包括：①洗三溫暖 ②打太極拳 ③舉重訓練 ④游泳，社區護理師應建議他避免那些活動？",77,110,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-111-2-psychiatric-community-041","有關依賴指數（dependency ratio）的敘述，下列何者錯誤？",41,111,{"webId":68,"stem":69,"number":70,"year":71,"session":32},"nurse-112-2-psychiatric-community-075","陳先生 74 歲，出血性中風個案，巴氏量表為 55 分，主要照顧者為 72 歲陳太太；陳先生於情況穩定後出院返家，但仍須留置鼻胃管及氣切管，陳太太表示無法獨自帶先生回門診，且對管路照顧感到擔心。個案管理師最優先建議陳太太使用的長期照顧服務資源，下列何項最適當？",75,112,"2026-09-29",1790672290575]