[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-023":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-023","nurse-110-1-psychiatric-community-023",110,1,23,"照顧罹患身體症狀及相關障礙症的病人，須特別評估隨著症狀表現而來的附帶收獲（secondary gain），下列何項描述較適當？",{"A":14,"B":15,"C":16,"D":17},"附帶收獲是指表現出身體症狀便可以直接避免面對心理衝突或壓力","應儘量不要太關注病人的身體症狀，以避免不當的增強附帶收獲","以抗精神病（antipsychotics）藥物進行催眠會談，在過程中給予暗示及建議","鼓勵病人持續關注身體症狀，以關注病人的身體症狀為主要護理措施","B",null,[],"本題考點為身體症狀障礙症的附帶收獲(secondary gain)與相應護理。考點在於辨識「應避免過度關注身體症狀以免不當增強附帶收獲」,故選B。依行為學習原理,對症狀給予過多關注等同正增強,會強化症狀持續,故護理上應減少對症狀本身的過度注意、轉而關注病人的情緒與因應,B正確。A錯在把附帶收獲定義成「直接避免面對衝突」,那較接近初級收獲(primary gain,以症狀化解內在焦慮);附帶收獲是指因生病獲得的外在好處(被照顧、免責任)。C以抗精神病藥催眠會談的敘述與此處置不符。D「鼓勵持續關注症狀」正與不強化原則相反。",[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",6,1783840763670]