[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-027":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":46,"lastmod":73},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-026",26,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-028",28,"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-027","nurse-108-1-psychiatric-community-027",108,1,27,"照護妄想型人格障礙症病人，為使病人至少可以信任一些人的態度，其治療首重下列何者？",null,{"A":21,"B":22,"C":23,"D":24},"評估病人自殺意念","引導病人注意自己的行為","建立治療性人際關係","協助病人認知合作及妥協的重要性","C",[],"本題考點是妄想型人格障礙症的核心病理與其對應的首要護理介入。依妄想型人格障礙症的定義，其核心特徵為普遍的猜疑與不信任，無充分根據即懷疑他人利用、傷害或欺騙自己，且不願吐露心事、易記恨；既然核心缺損在「信任」，治療首重即為以一致、誠實、可預測的態度建立治療性人際關係（C），讓個案由對單一對象的信任逐步外推。A 評估自殺意念雖屬安全評估，但並非此類個案的核心病理，題幹亦未提及自殺線索。B 引導注意自身行為屬後續自我覺察階段，在信任未建立前個案多會解讀為被監視或批評。D 認知合作與妥協的重要性是治療後期的社會功能目標，前提同樣是信任已建立。","與妄想型個案建立信任的操作要點可記成「誠實、一致、留空間」：說到做到並事先告知任何變動（一致性），不迎合也不辯駁其猜疑內容（不爭辯妄想的真假，只回應背後的情緒），保持適當人際距離與身體距離、避免耳語或當著其面低聲交談（避免被解讀為密謀），並儘量固定同一位主護以累積可預測的互動經驗。\n\n重要區辨：妄想型人格障礙症（paranoid personality disorder）屬 A 群人格障礙症，是長期的性格特質、無明顯精神病症狀、現實感大致完整；妄想症（delusional disorder）則有明確、系統化且非怪異的妄想內容；思覺失調症妄想型則另有幻覺、思考流程障礙與功能明顯退化。三者常在同一題組互為干擾項。\n\n口訣：「A 群不信任、B 群不穩定、C 群不敢動。」照護重點各為建立信任、設定界線、鼓勵嘗試。\n\n可延伸複習：Peplau 人際關係理論的定向期／工作期／結束期任務、治療性人際關係中「一致性、真誠、無條件正向關懷」（Rogers）三要素。",[30,33,36,38,40],{"term":31,"count":32},"治療性人際關係",14,{"term":34,"count":35},"Peplau 人際關係理論",3,{"term":37,"count":16},"妄想型人格障礙症",{"term":39,"count":16},"A 群人格障礙症",{"term":41,"count":16},"信任建立",[43],{"id":44,"name":45},"personality-disorders","人格障礙症",[47,49,54,59,64,69],{"webId":9,"stem":48,"number":10,"year":15,"session":16},"邊緣型人格障礙症病人有挑撥與討好的人際互動、情緒及明顯的衝動，最適宜的護理措施為下列何者？",{"webId":50,"stem":51,"number":52,"year":15,"session":53},"nurse-108-2-psychiatric-community-044","有關社區資料來源之描述，下列何者錯誤？",44,2,{"webId":55,"stem":56,"number":57,"year":58,"session":16},"nurse-109-1-psychiatric-community-058","依據渥太華健康促進憲章五大行動綱領，傳染病防治法明訂相關主管機關應配合及協助辦理傳染病防治事項，是符合下列何種行動綱領？",58,109,{"webId":60,"stem":61,"number":62,"year":63,"session":53},"nurse-110-2-psychiatric-community-016","林小姐入院診斷為憂鬱症，常向護理師表示自己做錯事害得父母離婚，又因為自己不夠好，所以男友跟她分手。下列何項回應最適當？",16,110,{"webId":65,"stem":66,"number":67,"year":68,"session":53},"nurse-111-2-psychiatric-community-060","下列何者最適合用來解釋嚴重特殊傳染性肺炎（COVID-19）的致病模式？",60,111,{"webId":70,"stem":71,"number":32,"year":72,"session":35},"nurse-112-3-psychiatric-community-014","李同學就讀高中三年級，日前媽媽生病過世，李同學因為失落、哀傷住進急性病房，護理師在住院過程提供支持性心理治療（supportive psychotherapy），下列有關支持性心理治療概念的描述，何者錯誤？",112,"2026-09-29",1790672290832]