[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-109-1-精神科與社區衛生護理學-026","nurse-109-1-psychiatric-community-026",109,1,26,"李同學診斷為邊緣型人格障礙症（Borderline Personality Disorder），手臂上很多的割痕，對於被媽媽送來住院非常的憤怒、對媽媽謾罵，下列何項是護理師目前最為適切的處置？",{"A":14,"B":15,"C":16,"D":17},"安慰媽媽，說明這是短暫的現象，請媽媽放心","根據行為治療與李同學訂定不自傷約定","請媽媽於住院期間不要探視，以免刺激病人","評估李同學為作態性自殺，不必注意手臂上的割痕","B",null,[],"本題考點在於邊緣型人格障礙症(BPD)伴自傷行為的護理處置。病人手臂多處割痕、情緒失控謾罵,依行為治療與安全優先原則,最適切的處置是與病人訂定「不自傷契約」,以行為約定強化其衝動控制、保障安全,故選B。A「安慰媽媽說這是短暫現象」把焦點放家屬而非處理自傷風險,非當前優先。C「請媽媽住院期間不要探視」缺乏依據且可能加重被遺棄感(BPD核心恐懼),不當。D「評估為作態性自殺、不必注意割痕」極危險,任何自傷徵象都須嚴肅評估,輕忽會釀嚴重後果。當前首要是確保安全,唯B訂定不自傷契約最適切。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"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？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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",6,1783840748759]