[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-010":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-009",9,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-011",11,"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-010","nurse-108-1-psychiatric-community-010",108,1,10,"李先生因思覺失調症而住院治療 2 週，每次母親來訪就吵著要回家，致使母親生氣地說：「再吵就不來看你了！」使得李先生擔心母親不要他了，而反覆至護理站詢問。護理師提供有關家庭互動之護理措施，下列何者正確？①利用症狀作處理　②適當支持和教導　③著重現在情境的互動　④採用家屬的方法",null,{"A":21,"B":22,"C":23,"D":24},"①②③","①②④","①③④","②③④","A",[],"本題考點是精神科家庭互動的護理措施原則。依家庭護理原則,護理人員可將病人當下呈現的症狀與行為作為切入點,協助家屬理解症狀背後的需求而非只看到吵鬧(①正確);應對家屬給予情緒支持並教導疾病知識與溝通方式,降低情緒表露過高的互動(②正確);介入焦點放在此時此地的實際互動情境,協助雙方在當場練習有效溝通(③正確),故選 A。④錯在「採用家屬的方法」,題幹中母親以威脅不再探視的方式回應,正是造成病人被遺棄感與反覆詢問的來源,護理人員的角色是協助修正無效互動,而非沿用會強化病人不安全感的做法。","這題背後的核心概念是情緒表露(expressed emotion, EE)。研究顯示家屬若呈現高度批評、敵意或情緒過度涉入,思覺失調症病人的復發率顯著上升,因此家族心理教育的目標就是降低 EE:教導疾病是腦部疾病而非病人故意、示範具體且不帶指責的表達方式、協助家屬設定合理期待並照顧自身壓力。題幹中「再吵就不來看你了」是典型的批評加威脅式回應,會直接觸動病人的分離焦慮。介入時著重此時此地(here and now)的理由是,家庭互動模式在當場即可被觀察與立即回饋,比追溯陳年恩怨更能產生改變。可延伸複習:高情緒表露與復發率、家族治療的溝通訓練、思覺失調症的社區支持與家屬支持團體。",[30,33,35,37,39],{"term":31,"count":32},"思覺失調症復發預防",2,{"term":34,"count":16},"情緒表露 expressed emotion",{"term":36,"count":16},"家族心理教育",{"term":38,"count":16},"此時此地介入",{"term":40,"count":16},"家屬支持與衛教",[42],{"id":43,"name":44},"group-family-therapy","團體治療與家庭治療",[46,48,52,57,62,67],{"webId":9,"stem":47,"number":10,"year":15,"session":16},"有關光照療法的作用機轉之敘述，下列何者最適當？",{"webId":49,"stem":50,"number":51,"year":15,"session":32},"nurse-108-2-psychiatric-community-027","醫院病房的陌生環境，易使個案產生不安的情緒，在此狀況下，改善個案對住院環境不安的措施，下列何者最適切？",27,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-041","有關衛生所護理師執業範疇之敘述，下列何者錯誤？",41,109,{"webId":58,"stem":59,"number":60,"year":61,"session":16},"nurse-110-1-psychiatric-community-079","國人十大死因中多項死因與肥胖有關，為減低肥胖，有關衛生福利部推動之健康飲食建議，下列敘述何者錯誤？",79,110,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-111-2-psychiatric-community-043","有關長期照顧十年計畫 2.0，A、B、C 級服務單位的敘述，下列何者最不適當？",43,111,{"webId":68,"stem":69,"number":70,"year":71,"session":32},"nurse-112-2-psychiatric-community-077","陳老太太過去一年在沒有改變生活習慣與減重下，體重從 65 公斤降到 63 公斤，在沒有手扶支撐下只能連續站立坐下 3 次，自覺一個月約有 2～3 日覺得懶懶的不想做家事。依據老年衰弱評估量表（Study of Osteoporotic Fractures, SOF），陳老太太屬於下列何種衰弱程度？",77,112,"2026-09-29",1790672290606]