[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-006":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-006","nurse-110-1-psychiatric-community-006",110,1,6,"對有聽幻覺（auditory hallucination）、被害妄想（delusion of persecution）的病人進行溝通時，下列回應何者較適當？",{"A":14,"B":15,"C":16,"D":17},"這裡除了我和你，並沒有其他人在說話","你說有人要害你，其實這是你的想像","你說有人害你，可是你還活得好好的","你這是幻聽、妄想的精神症狀，藥物可以改善","A",null,[],"本題考點是對幻聽與被害妄想病人的治療性溝通原則。考點在於面對幻覺妄想時,既不附和其內容也不強行爭辯,而是以陳述現實的方式溫和澄清,故『這裡除了我和你,並沒有其他人在說話』最適當,選 A。選項 B 直指是想像帶有否定質疑意味;C 用『你還活得好好的』反駁被害內容,易引發防衛;D 直接以精神症狀與藥物切入,忽略病人當下感受且具說教意味。判斷關鍵在於運用『呈現現實而不爭辯』的技巧,既不強化症狀也不否定病人。",[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":11,"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",1783840763511]