[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":22},"nurse-108-2-精神科與社區衛生護理學-004","nurse-108-2-psychiatric-community-004",108,2,4,"一位剛入院的精神病人林先生，情緒焦躁，因想打電話通知家人辦理出院，跑到護理站前要求出院，對工作人員大聲謾罵，並企圖攻擊護理師，面對該情緒失控的病人，下列何項措施較適切？",{"A":14,"B":15,"C":16,"D":17},"「你的行為已經干擾到大家，若你不能控制自己的行為，我們只好把你綁起來」","「你看起來很生氣，我們可以談一談嗎？若你仍然無法控制自己的情緒，我們暫時需用約束的方式協助你」","不用告訴林先生要約束他，以免使他更生氣激躁，聯絡其他可以協助的工作人員，直接將林先生約束","「你已經嚴重違反病房住院規定，你再這樣無法自我控制，會更延長住院的天數」","B",null,[],"本題考點為情緒失控具攻擊風險病人的治療性溝通與約束的階段性原則。依危機處理，應先以同理反映情緒、給予口語表達機會，並事先告知若無法自控將暫時採約束，兼顧治療關係與安全，故 B 正確。A 錯：以「綁起來」威脅屬懲罰性語氣，會激化對立。C 錯：不告知即直接約束剝奪病人知情與自我控制機會，非最適切且違反約束告知原則。D 錯：以延長住院天數威脅同屬懲罰語氣、無助情緒緩解，故正解為 B。",1,[24,28,31,35,38,42],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":36,"stem":37,"number":11,"year":27,"session":22},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",{"webId":39,"stem":40,"number":41,"year":27,"session":22},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":43,"stem":44,"number":45,"year":27,"session":22},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840760110]