[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-020":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":44,"lastmod":73},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-019",19,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-021",21,"psychiatric-community",{"id":13,"webId":14,"year":15,"session":16,"subject":4,"number":17,"stem":18,"scenario":19,"carryOver":20,"options":21,"answer":26,"answerNote":19,"images":27,"explanation":28,"explanationDeep":29,"topics":30,"freq":33,"concepts":40},"nurse-108-1-精神科與社區衛生護理學-020","nurse-108-1-psychiatric-community-020",108,1,20,"承上題，護理人員對劉先生的溝通內容，下列何者最適宜？",null,"第 19 題：劉先生因患憂鬱症，住院期間不言不語，不吃不喝，護理人員與其會談時，劉先生都閉口不說話，最合適的護理措施為下列何者？",{"A":22,"B":23,"C":24,"D":25},"你有很多值得活下去的理由，願不願意跟我分享有那些理由呢","我在這裡陪你，你隨時都可以決定願不願意跟我分享","人生其實有很多無奈，希望你早日想通","我希望你可以接受我的建議","B",[],"本題考點是憂鬱症緘默病人的治療性溝通用語選擇。承第 19 題，劉先生不言不語、不吃不喝，會談時完全閉口，此時的護理原則是「同在」與「無條件積極關懷」：以陪伴取代逼問，並把是否表達的主導權交還病人，減少其被要求表現的壓力，故選 B。A 先預設病人有值得活下去的理由再要求分享，帶有說服與評價意味，屬說教式溝通，且對思考遲滯的病人形成負荷。C 的「人生有很多無奈、希望你早日想通」是空泛安慰語，屬不當保證與輕忽感受。D 的「希望你接受我的建議」把護理人員的價值強加於病人，違反自主原則。憂鬱症急性期的溝通應簡短、具體、允許沉默。","沉默在精神科會談中是治療性技巧而非失敗：它給予病人組織思緒的時間，也傳達「我不急著要答案」的接納。對重鬱症病人，精神運動遲滯使反應時間拉長，過快追問會被解讀為被催促而更退縮。技巧上可採開放式短句、描述所觀察到的行為（例如坐在旁邊說明會停留多久），並以定時、規律、短時間的多次接觸取代一次長會談。安全評估仍須並行，因不吃不喝屬生理危險徵象。可對照記憶治療性溝通四技：同在、反映、澄清、摘要；相對的四個地雷是保證、說教、給忠告、轉移話題。延伸連結 Peplau 人際關係理論的定向期與工作期任務。",[31,34,36,38],{"term":32,"count":33},"治療性溝通",48,{"term":35,"count":16},"沉默的運用",{"term":37,"count":16},"無條件積極關懷",{"term":39,"count":16},"重鬱症精神運動遲滯",[41],{"id":42,"name":43},"therapeutic-communication","治療性溝通技巧",[45,47,52,57,62,67],{"webId":9,"stem":46,"number":10,"year":15,"session":16},"朱小姐，憂鬱症，會談時頻頻責備自己不是一個稱職的母親，說：「我的小孩一定覺得我很糟，會看不起我這個母親。」，請問當朱小姐向護理人員做此反應時，護理人員運用認知治療回應朱小姐，下列何者較適宜？",{"webId":48,"stem":49,"number":50,"year":15,"session":51},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,2,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-051","有關依賴人口指數（dependent index）的敘述，下列何者錯誤？",51,109,{"webId":58,"stem":59,"number":60,"year":61,"session":51},"nurse-110-2-psychiatric-community-009","有關錐體外徑症候群之藥物副作用（extrapyramidal symptoms, EPS）的敘述，下列何者正確？",9,110,{"webId":63,"stem":64,"number":65,"year":66,"session":51},"nurse-111-2-psychiatric-community-053","有關評估社區民眾需求與互動方式的資料，下列何者較不適當？",53,111,{"webId":68,"stem":69,"number":70,"year":71,"session":72},"nurse-112-3-psychiatric-community-007","張先生因拿油漆潑鄰居，揚言同歸於盡，而被強制送醫，診斷為思覺失調症，在病房大聲說：「那個鄰居很可惡，故意把車停在我的車道上讓我出不去，我潑油漆只是給他們警告，又不會傷害他們，卻被抓來住院，沒天理。」護理師運用同理心的技巧回應，下列何項最適宜？",7,112,3,"2026-09-29",1790672290736]