[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-020":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-020","nurse-110-1-psychiatric-community-020",110,1,20,"病人因反覆出現強迫性思考及持續洗手的行為，而入院治療，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"病人的強迫性思考內容常為無意義的","護理目標以直接中止病人的洗手症狀為最優先考量","洗手行為是病人藉此內射出其內在強迫性思考的手段","須評估病人自我傷害的可能性，必要時可戴手套洗手","D",null,[],"本題考點為強迫症(OCD)病人的護理與症狀概念。考點在於辨識「須評估自我傷害可能、必要時可戴手套洗手」為較適當,故選D。依護理安全原則,反覆洗手可能造成皮膚破損甚至自傷,須評估自傷風險並以戴手套等方式減害,故D正確。A錯在強迫思考內容對病人而言充滿威脅意義且引發焦慮,並非病人主觀認為無意義。B錯在直接強制中止儀式行為會使焦慮急遽升高,不應作為最優先目標,而應漸進減敏。C錯在洗手屬強迫行為(compulsion),是為中和焦慮而做,並非以「內射」機轉表現,概念套錯。",[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",6,1783840763654]