[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-027":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-027","nurse-109-1-psychiatric-community-027",109,1,27,"對身體症狀及相關障礙症（Somatic Symptom and Related Disorder）的病人提供照護時，下列敘述何者較適切？",{"A":14,"B":15,"C":16,"D":17},"強調是心理層面的問題，不需評估生理層面","除非心理問題已獲得改善，否則身體症狀不容易改善","病人最常使用合理化防衛機轉，可指出其矛盾之處","告知病人身體症狀能在短期內改善，可藉此灌注病人希望代號：5106 頁次：8－4","B",null,[],"本題考點在於身體症狀及相關障礙症的照護原則。此類病人以身體不適表達潛在心理困擾,依身心症照護原則,身體症狀往往需待心理問題處理改善後才會緩解,故B正確。A錯,不可只強調心理層面而略過生理評估,仍須先排除器質性疾病確保安全,不能貿然斷定純屬心理。C錯,此類病人最常用的防衛多為潛抑\u002F轉化而非合理化,且直接指出矛盾之處易引發抗拒,不利治療關係。D錯,不應保證症狀短期內會改善,身心症病程常反覆,不實承諾會失去信任,灌注希望應誠實而非空許。唯B正確反映身心關聯的照護核心。",[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",6,1783840748762]