[{"data":1,"prerenderedAt":75},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-016":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":46,"lastmod":74},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-015",15,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-017",17,"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":42},"nurse-108-1-精神科與社區衛生護理學-016","nurse-108-1-psychiatric-community-016",108,1,16,"剛入院的思覺失調症病人躲在病房角落，深信將有大批警力要捉捕他入獄。此時最適當的護理措施為下列何者？",null,{"A":21,"B":22,"C":23,"D":24},"澄清只是精神症狀並不是真的","保證警察不會進入病房","接受病人此情境下的感受","鼓勵詳細描述妄想情境","C",[],"本題考點是妄想個案的溝通處置原則。依治療性溝通原則,面對妄想不爭辯其內容真偽,而是接納病人在該情境下所經驗到的恐懼與不安,先建立安全感與信任,才可能進一步協助其檢視現實,故選 C。A 直接澄清那只是症狀並不是真的,等於否定病人的主觀經驗,妄想的本質即無法以邏輯說服,如此易使病人認為護理人員也站在對立面;B 保證警察不會進入病房屬於給予虛假保證,護理人員無法擔保未來事件,且此回應等同默認妄想前提,會強化妄想系統;D 鼓勵詳細描述妄想情境會使病人反覆沉浸於妄想內容,強化其連結與情緒激動,治療上應轉向現實層面的話題與感受回應。","處理妄想的原則可濃縮為「不爭辯、不附和、回應感受、導向現實」。具體語句示範如「我沒有看到警察,不過我可以感覺到你現在非常害怕,我會在這裡陪你」——前半誠實表達護理人員的知覺(不附和),後半承接情緒(回應感受),整句避免辯論真偽。這種說法之所以有效,在於妄想承載的是強烈的焦慮與失控感,情緒被接住後,病人才有餘裕接受現實訊息。相對地,虛假保證屬於典型的非治療性溝通,和給建議、批判、轉移話題、陳腔濫調同列。進一步的介入可用轉移注意力至此時此地的具體活動,並持續評估妄想是否伴隨命令式幻聽或攻擊意圖以確保安全。可連結概念:非治療性溝通類型、現實導向、被害妄想與投射、住院初期的信任建立。",[30,33,36,38,40],{"term":31,"count":32},"治療性溝通",48,{"term":34,"count":35},"被害妄想",14,{"term":37,"count":16},"妄想的溝通原則",{"term":39,"count":16},"虛假保證屬非治療性溝通",{"term":41,"count":16},"接納病人感受",[43],{"id":44,"name":45},"delusion-hallucination-care","妄想與幻覺護理",[47,49,54,59,64,69],{"webId":9,"stem":48,"number":10,"year":15,"session":16},"許小姐住院 3 週後自言自語頻繁，持續在床上大聲怒罵叫旁人走開，但是身邊並無其他人。用餐時間護理師叫喚許小姐多次，她才抬頭回應有人在旁一直說她的不是。此情況下，護理師最適當的護理處置為下列何者？",{"webId":50,"stem":51,"number":52,"year":15,"session":53},"nurse-108-2-psychiatric-community-033","安排病人參與社區復健活動，護理師所執行的個案管理措施，下列何者正確？",33,2,{"webId":55,"stem":56,"number":57,"year":58,"session":16},"nurse-109-1-psychiatric-community-047","不同廠牌的流感快篩試劑的品質檢測中，A 廠牌檢測的敏感度為 90%，特異度為 95%；B 廠牌的敏感度為 97%，特異度為 86%。下列敘述何者正確？",47,109,{"webId":60,"stem":61,"number":62,"year":63,"session":53},"nurse-110-2-psychiatric-community-005","護理師問病人：「100 減 7 是多少？」然後連續減了五個 7。這種方式除了可以評估病人的計算能力外，還可以評估下列何種能力？",5,110,{"webId":65,"stem":66,"number":67,"year":68,"session":53},"nurse-111-2-psychiatric-community-049","根據資料顯示，出血型登革熱的病例中有 15～50%會死亡。15～50%代表的意義為何？",49,111,{"webId":70,"stem":71,"number":72,"year":73,"session":72},"nurse-112-3-psychiatric-community-003","施先生因症狀不穩而住院治療，他說：「我真的沒病，為什麼把我關起來？」，護理師使用同理心的技巧回應，下列何者最適宜？",3,112,"2026-09-29",1790672290681]