[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-016":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-016","nurse-110-1-psychiatric-community-016",110,1,16,"王小姐診斷為妄想症（delusional disorder），認為自己的伙食被下毒，而拒絕食用，下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"宜安排固定的護理師照顧，培養信任感","扶著病人的手協助餵食","保證醫院食物沒毒，請病人不必多想","護理師直接食用以證明食物沒有毒","A",null,[],"本題考點為妄想症病人拒食(被下毒妄想)的護理措施。考點在於辨識「固定護理師以培養信任」為最適切,故選A。依治療性人際關係原則,穩定、一致的照顧者可降低猜疑、逐步建立信任,是處理被害妄想的基礎,故A正確。B「扶手餵食」錯在侵入病人身體界線,反而加深被控制與被害感。C「保證食物沒毒、請病人別多想」錯在直接否定妄想並要求病人放下,違反不爭辯原則。D「護理師直接吃給病人看」錯在企圖以證據駁斥妄想,妄想不受邏輯說服,反易被解讀為只有那份沒毒,徒增猜疑。",[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",6,1783840763591]