[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-003":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-110-1-精神科與社區衛生護理學-003","nurse-110-1-psychiatric-community-003",110,1,3,"黃先生，55 歲，被診斷為思覺失調症，與案母同住，服藥不規則，須由案母提醒他吃藥。一個月前，案母因病過世，黃先生認為鄰居透過社區的 LINE 群組說他的壞話，因此作勢要攻擊鄰居。黃先生最可能有以下何種症狀？",{"A":14,"B":15,"C":16,"D":17},"關係妄想（delusion of reference）","誇大妄想（delusion of grandeur）","虛無妄想（nihilistic delusion）","嫉妒妄想（delusion of jealousy）","A",null,[],"本題考點是妄想的分類辨識。考點在於病人將中性的外在事件(鄰居在 LINE 群組交談)錯誤解讀為與自己有關且針對自己,這種把無關訊息連結到自身的信念屬於關係妄想,故選 A。選項 B 誇大妄想是自認具有超凡能力或身分地位;C 虛無妄想是堅信自己或世界不存在、已死亡或器官腐壞;D 嫉妒妄想是無據地堅信配偶或伴侶不忠,均與本題情境不符。判斷關鍵在於辨識『把他人言行解讀成針對自己』正是關係妄想的核心特徵。",[23,27,31,34,38,42],{"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":11,"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？",{"webId":35,"stem":36,"number":37,"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":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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",6,1783840763451]