[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-024":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-024","nurse-108-2-psychiatric-community-024",108,2,24,"呂小姐，42 歲，入院 4 週，預計下週出院，今天與護理師會談時提到自己的幻聽已改善很多，雖然仍會聽到一些聲音，不過內容已沒以前清楚，下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"向病人澄清「這裡只有我跟你，而且我沒有聽到其他聲音」","為了確保病人出院後幻聽情形可以改善，隨時詢問病人幻聽的情況及內容","與病人討論處理幻聽的方法","我了解幻聽聲音讓你很不舒服，但那不是真實的","C",null,[],"本題考點為幻聽病人的治療性溝通。依精神科護理原則,面對幻聽個案不否認也不強化其幻覺內容,而應協助個案發展因應策略,故與病人討論處理幻聽的方法可增進其自我管理能力,選 C。A 澄清「這裡只有我跟你」錯在雖表達現實感,但語氣近似否定病人的主觀經驗,易破壞信任,且未教導因應。B 隨時詢問幻聽情況及內容錯在過度聚焦幻聽反而強化其存在感、增加病人對幻聽的關注。D 說「那不是真實的」錯在直接否定病人的知覺經驗,會讓病人覺得不被理解而抗拒。判斷關鍵在於出院前的重點是賦能病人學會與幻聽共處、發展自我因應策略。",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",6,1783840760253]