[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-066":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":41,"lastmod":68},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-065",65,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-067",67,"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":16,"concepts":37},"nurse-108-1-精神科與社區衛生護理學-066","nurse-108-1-psychiatric-community-066",108,1,66,"王先生已經規律運動 7 個月，最近常覺得懶懶的不太想動。如果要讓王先生能持續維持運動，依據階段改變理論可以善用下列何種策略？",null,{"A":21,"B":22,"C":23,"D":24},"意識覺醒","情感喚起","環境再評價","增強管理","D",[],"本題考點是階段改變理論（Transtheoretical Model）中，行為階段與改變方法（processes of change）的配對。依該理論，規律運動已達 7 個月（超過 6 個月）屬維持期，此期的核心任務是預防復發，適用行為導向的改變方法，其中增強管理透過自我獎賞與他人肯定強化既有行為，最能維繫動機，故選 D。A 意識覺醒是提供資訊以喚起對問題的認識，適用思考前期。B 情感喚起藉由觸動情緒引發改變意願，同屬思考前期。C 環境再評價是評估自身行為對他人與環境的影響，用於思考前期到思考期，皆非維持期所需。","階段改變理論的五階段與時間標準要背熟：思考前期（未來 6 個月內無改變打算）、思考期（6 個月內打算改變）、準備期（1 個月內打算改變且已有行動）、行動期（已改變但未滿 6 個月）、維持期（已改變超過 6 個月）。十個改變方法分兩群：認知／經驗性方法五個——意識覺醒、情感喚起、環境再評價、自我再評價、社會解放，主要用於前三期，任務是「讓人想改」；行為性方法五個——增強管理、助人關係、反制約、刺激控制、自我解放，主要用於行動期與維持期，任務是「讓人做得下去」。此題的關鍵字有兩個：7 個月（定位到維持期）與「懶懶的不太想動」（動機衰退，屬復發前兆）。維持期常見考法還包括刺激控制（把運動鞋放門口、約固定運動夥伴）與反制約（想偷懶時改做輕度散步取代完全不動），可一併記憶。",[30,32,34,35],{"term":31,"count":16},"階段改變理論(Transtheoretical Model)",{"term":33,"count":16},"維持期",{"term":24,"count":16},{"term":36,"count":16},"改變方法(processes of change)",[38],{"id":39,"name":40},"health-behavior-models","健康行為理論與模式",[42,44,49,54,59,64],{"webId":9,"stem":43,"number":10,"year":15,"session":16},"社區衛生護理人員今天預計至下列 4 個家庭進行訪視，請問安排行程時，那個個案家庭的訪視應排在本日行程最後？",{"webId":45,"stem":46,"number":47,"year":48,"session":16},"nurse-109-1-psychiatric-community-003","對於急性期症狀穩定，將出院的精神病人，其出院護理計畫的內容，包括下列何者為宜？①教導壓力調適策略 ②建議可依症狀自行調藥 ③提供健康指導與諮詢 ④討論緩解藥物副作用的方法",3,109,{"webId":50,"stem":51,"number":52,"year":48,"session":53},"nurse-109-2-psychiatric-community-017","身為主護護理師，此階段照護何者最重要？",17,2,{"webId":55,"stem":56,"number":57,"year":58,"session":53},"nurse-110-2-psychiatric-community-055","社區護理師與社區運動性社團共同推動健康體能活動，是依據社區健康營造的何種步驟？",55,110,{"webId":60,"stem":61,"number":62,"year":63,"session":16},"nurse-112-1-psychiatric-community-019","林先生躁症發作（Manic Episode）住急性病房，因為發燒被安置於隔離室觀察，林先生頻頻要求出隔離室，下列那些護理處置最適宜？①設限：你現在發燒要觀察，暫時不能出隔離室 ②拖延：不予理會、不回應 ③給予部分接受：我幫你量體溫，依據體溫狀況再決定 ④要求頻率太高，改為約束，避免出隔離室",19,112,{"webId":65,"stem":66,"number":47,"year":67,"session":16},"nurse-113-1-psychiatric-community-003","有關家庭治療之敘述，下列何者最適切？",113,"2026-09-29",1790672291328]