[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-010":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-010","nurse-110-1-psychiatric-community-010",110,1,10,"當罹患思覺失調症病人不斷敘述他的妄想內容時，下列何項護理措施較適當？",{"A":14,"B":15,"C":16,"D":17},"引導病人談與妄想內容有關的情緒與感受","告訴病人不要胡思亂想，症狀就會慢慢不見","強烈質疑病人的妄想內容，讓病人感到自我矛盾與錯亂","儘量不要跟病人討論以免加重病情","A",null,[],"本題考點是對思覺失調症妄想病人的護理回應。考點在於處理妄想不在爭辯內容真偽,而是接納並引導病人表達妄想背後的情緒與感受,以建立信任並理解其需求,故選 A。選項 B 以『不要胡思亂想症狀就會不見』否定病人且不切實際;C 強烈質疑妄想內容製造矛盾錯亂,會升高焦慮與防衛;D 完全避談則忽略病人並阻斷治療性關係。判斷關鍵在於運用『不爭辯內容、聚焦情緒』的原則回應妄想。",[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",6,1783840763538]