[{"data":1,"prerenderedAt":75},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-034":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-033",33,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-035",35,"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-034","nurse-108-1-psychiatric-community-034",108,1,34,"社區精神衛生護理師的主要角色功能，下列何者正確？",null,{"A":21,"B":22,"C":23,"D":24},"不可單獨在社區進行團體諮詢活動","宜促進病人與醫療人員之間的訊息溝通與聯繫","擬定護理計畫需以功利成效為導向","發現心理困擾者須宣導藥物治療的優先性","B",[],"本題考點是社區精神衛生護理師的角色功能，核心在協調與聯繫。依社區精神衛生護理的角色定義，護理師身處個案、家庭與醫療團隊之間，擔任個案管理者與協調者，主要功能之一即促進個案與醫療人員間的訊息溝通與聯繫，以維持治療連續性與服藥遵從性，故選 B。A 錯在「不可單獨進行團體諮詢活動」，社區精神衛生護理師受過相關訓練，可依其專業範疇獨立執行團體衛教與支持性團體。C 錯在以「功利成效」為導向，護理計畫應以個案需求與自主意願為中心，並依整體性照護原則擬定，成本效益僅為考量之一而非導向。D 錯在宣導藥物治療的優先性，社區介入強調生理心理社會整體評估，心理困擾者的處置可能是諮商、社會資源連結或壓力管理，並非一律以藥物為先。","社區精神衛生護理師的角色可用「管、連、教、訪、危」五字整理：個案管理（case management，含追蹤、評估、服藥監測）、資源連結（醫療、社政、就業、居住）、衛生教育（個案與家屬的疾病與用藥知識）、居家訪視（環境評估與家庭動力觀察）、危機處理（自傷傷人風險評估與轉介）。B 選項正落在「連」這一項。\n\n三個錯誤選項的共同破綻是價值取向偏誤：A 低估護理專業自主性、C 以成本凌駕個案需求、D 以醫療模式壓過社會心理模式。社區精神衛生的整個典範轉移，正是從機構化的醫療主導走向社區為基礎、個案為中心的復元導向服務——凡看到選項把主導權從個案身上拿走，通常即為錯項。\n\n可延伸複習：積極性社區治療（ACT）模式的多專業團隊組成與服務特色、個案管理的五大功能（評估、計畫、連結、監測、倡議）、精神衛生法中社區治療與強制社區治療的規定、居家治療與精神障礙者社區關懷訪視計畫。",[30,33,36,38,40],{"term":31,"count":32},"個案管理",11,{"term":34,"count":35},"社區精神衛生護理",2,{"term":37,"count":35},"資源連結與協調",{"term":39,"count":16},"生理心理社會模式",{"term":41,"count":16},"護理專業自主",[43],{"id":44,"name":45},"psychiatric-rehabilitation","精神復健與社區精神衛生",[47,49,53,58,63,68],{"webId":9,"stem":48,"number":10,"year":15,"session":16},"有關以社區為基礎的精神醫學治療模式，下列何者正確？",{"webId":50,"stem":51,"number":52,"year":15,"session":35},"nurse-108-2-psychiatric-community-051","王先生與張女士同居三年，他們領養一個三歲小男孩，請問下列那一個家系圖符合前述狀況？",51,{"webId":54,"stem":55,"number":56,"year":57,"session":16},"nurse-109-1-psychiatric-community-065","下列何種措施最有助於降低病態建築症候群（sick building syndrome, SBS）的發生？",65,109,{"webId":59,"stem":60,"number":61,"year":62,"session":35},"nurse-110-2-psychiatric-community-023","依據學習理論，有關特定畏懼症（special phobia）病人學習恐懼的途徑，下列敘述何者最適當？",23,110,{"webId":64,"stem":65,"number":66,"year":67,"session":35},"nurse-111-2-psychiatric-community-067","有關護理師對更年期婦女的護理指導，下列何者最不適當？",67,111,{"webId":69,"stem":70,"number":71,"year":72,"session":73},"nurse-112-3-psychiatric-community-021","邵女士，67 歲，因車禍接受手術，在加護病房第二天出現混亂、慌張、不安、定向障礙之症狀，小夜班時不斷拉鈴要求出去，大夜班時跟護理師反映牆壁上有許多蟑螂。針對此譫妄（delirium）狀態，下列何項護理措施最適宜？",21,112,3,"2026-09-29",1790672290903]