[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-021":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-021","nurse-110-1-psychiatric-community-021",110,1,21,"有關創傷後壓力症（post-traumatic stress disorder; PTSD）病人的治療處置，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"若採用藥物治療，治療重點為以鋰鹽來緩解病人情緒症狀","若採用精神分析治療，治療重點為採用家庭系統學說來說明家庭間病態的溝通","若採用行為治療，治療重點為以洪水法協助病人逐步控制侵入性的創傷事件影像","若採用認知治療，治療重點為引導病人修正對創傷事件起因與結果的扭曲認知","D",null,[],"本題考點為創傷後壓力症(PTSD)各學派治療重點的正確配對。考點在於辨識「認知治療修正對創傷起因與結果的扭曲認知」,故選D。依認知治療理論,PTSD病人常對創傷事件的成因(如過度自責)與結果(如世界極度危險)形成扭曲認知,治療重點即在修正這些扭曲信念,故D正確。A錯在藥物治療首選為SSRI等抗憂鬱劑,鋰鹽主要用於雙相情緒障礙,並非PTSD重點。B錯在把家庭系統學說錯置於精神分析。C錯在行為治療的暴露法應循序漸進,「洪水法」屬一次大量暴露,不符合「逐步」的描述,前後矛盾。",[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",6,1783840763663]