[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-013":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-013","nurse-108-2-psychiatric-community-013",108,2,13,"小賀，國小四年級，因逃家被母親帶來兒童心智科求助，醫師建議安排家庭治療，母親卻激動表示醫師弄錯對象，護理師的回應，下列何者較適切？",{"A":14,"B":15,"C":16,"D":17},"「讓我們一起來幫助小賀。」","「小孩的病，通常是大人的問題。」","「來看家庭治療師，可預防精神疾病。」","「做母親幫助孩子，是責任，也是義務。」","A",null,[],"本題考點為治療性溝通與家庭治療的系統觀。依家庭系統理論,兒童的問題常是家庭互動失衡的表徵,家庭治療視全家為一個治療單位,護理師的回應應中性、不指責且建立合作關係,故「讓我們一起來幫助小賀」既邀請母親加入又不歸咎任何人,選 A。B「小孩的病通常是大人的問題」錯在直接把責任推給家長,會激起防衛而破壞治療同盟。C「可預防精神疾病」錯在誇大療效且答非所問,未回應母親的抗拒情緒。D「是責任也是義務」錯在以說教與道德壓力回應,屬指責語氣。判斷關鍵在辨識能降低防衛、促成合作的中性邀請式回應。",1,[24,28,31,35,39,43],{"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":38,"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？",4,{"webId":40,"stem":41,"number":42,"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":44,"stem":45,"number":46,"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",6,1783840760176]