[{"data":1,"prerenderedAt":76},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-035":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":47,"lastmod":75},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-034",34,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-036",36,"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":43},"nurse-108-1-精神科與社區衛生護理學-035","nurse-108-1-psychiatric-community-035",108,1,35,"有關以社區為基礎的精神醫學治療模式，下列何者正確？",null,{"A":21,"B":22,"C":23,"D":24},"強調在醫院中持續復健治療","適合急性期精神病人","較適合症狀穩定的病人","主要由醫事人員所主導","C",[],"本題考點是社區為基礎的精神醫學治療模式，其適用對象與服務精神。依社區精神醫學的基本前提，社區照護提供的支持密度與醫療監測強度低於急性病房，須仰賴個案具備一定的自我照顧與規律就醫能力，因此適用對象為症狀相對穩定、無立即自傷傷人風險者，故選 C。A 錯在「在醫院中持續復健」，社區模式的核心正是去機構化，強調在個案原本的生活場域中復健以維持社會連結。B 錯在適合急性期個案，急性期常伴隨明顯精神病症狀、行為紊亂或安全風險，需住院提供密集的監測與治療。D 錯在「主要由醫事人員主導」，社區模式強調跨專業團隊合作與個案、家庭及社區資源共同參與，主導權不集中於醫事人員。","社區精神醫學的四大原則可記成「就近、連續、參與、正常化」：就近可及（服務設在個案生活圈）、照護連續（急性到慢性到復健不斷線）、個案與家庭參與決策、生活正常化（維持工作、家庭與社會角色，避免長期住院造成的機構化症候群——被動、退縮、依賴、失去生活技能）。\n\n服務光譜由密到疏：急性病房 → 日間病房（白天治療、晚上回家）→ 康復之家（居住＋生活訓練）→ 社區復健中心 → 居家治療與社區關懷訪視 → 門診追蹤。選對「該用哪一層」的判準永遠是症狀穩定度與風險程度，本題 C 正是在陳述這條判準。\n\n歷史脈絡補充：去機構化運動自 1950 年代抗精神病藥物問世後展開，理念上是進步的，但若社區支持系統未同步建置，會出現「旋轉門效應」（反覆入出院）與遊民化等副作用——這也是為什麼社區模式必須配套個案管理與 ACT 團隊。\n\n可延伸複習：去機構化與機構化症候群、旋轉門效應、我國精神衛生法對社區治療的規範、跨專業團隊（精神科醫師、護理師、心理師、社工師、職能治療師）各自的角色分工。",[30,33,36,39,41],{"term":31,"count":32},"去機構化",18,{"term":34,"count":35},"跨專業團隊",4,{"term":37,"count":38},"社區精神醫學",2,{"term":40,"count":38},"機構化症候群",{"term":42,"count":16},"症狀穩定度",[44],{"id":45,"name":46},"psychiatric-rehabilitation","精神復健與社區精神衛生",[48,50,54,59,64,69],{"webId":9,"stem":49,"number":10,"year":15,"session":16},"有關危機處置的技巧，下列何者正確？",{"webId":51,"stem":52,"number":53,"year":15,"session":38},"nurse-108-2-psychiatric-community-052","社區衛生護理師家訪印尼籍新移民王太太，發現她左臉及手腳有多處新舊不同之瘀青，主訴自己從樓梯處跌落，下列處置何者最適切？",52,{"webId":55,"stem":56,"number":57,"year":58,"session":16},"nurse-109-1-psychiatric-community-066","張先生與張太太首次參加社區成人健康檢查，張先生檢測結果顯示有血糖過高，張太太子宮頸癌篩檢為陽性。衛生所王護理師至張家家庭訪視，追蹤兩人狀況。但抵達張家時，張太太因事外出，只有張先生在家。王護理師為張先生測量血糖，飯後兩小時血糖值為 210 mg\u002FdL，王護理師如何向張先生解釋此數值最為合宜？",66,109,{"webId":60,"stem":61,"number":62,"year":63,"session":38},"nurse-110-2-psychiatric-community-024","有關強迫症（obsessive-compulsive disorder, OCD）病人的敘述，下列何者最適當？",24,110,{"webId":65,"stem":66,"number":67,"year":68,"session":38},"nurse-111-2-psychiatric-community-068","下列何項資料最適合用來收集社區民眾的價值觀、行為特質、風俗習慣、文化特性以及政治體系？",68,111,{"webId":70,"stem":71,"number":72,"year":73,"session":74},"nurse-112-3-psychiatric-community-022","有關心理防衛機轉的敘述，下列何者正確？",22,112,3,"2026-09-29",1790672290915]