[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-110-2-精神科與社區衛生護理學-024","nurse-110-2-psychiatric-community-024",110,2,24,"有關強迫症（obsessive-compulsive disorder, OCD）病人的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"病人通常缺乏病識感，無法理解這些強迫性想法","病人常使用內射之防衛機轉，化解內在的衝突不安","病人通常發病前即有求全、完美的傾向，強調事情的是非，缺少通融變化","病人對其所患之強迫思想或行為常覺得不合理或並非自己所願，但尚可抗拒","C",null,[],"本題考點在強迫症(OCD)病人的病前人格與臨床特徵。依OCD相關研究，病人發病前常有求全、完美、強調是非對錯、缺乏彈性通融的強迫型人格傾向，故選C。A OCD病人通常保有病識感，能理解自己的強迫想法不合理，說「缺乏病識感」錯誤；B OCD常見防衛機轉是「抵消(undoing)」、「反向作用」與「隔離」，而非「內射」，張冠李戴；D描述雖接近正確，但未如C點出病前完美性格傾向，C較全面且無誤，為最佳答案。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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",6,1783840767444]