[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-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-111-1-精神科與社區衛生護理學-021","nurse-111-1-psychiatric-community-021",111,1,21,"李小姐因強迫症住院，今日母親探視時又因李小姐的強迫症狀而有爭執，母親離去後李小姐顯得焦躁不安。下列何種說法最有助於協助病人覺察自己的焦慮與行為間的關聯性？",{"A":14,"B":15,"C":16,"D":17},"可不可以多告訴我，妳對強迫症的看法？","沒有人是完美的，妳的強迫症狀是正常的。","我看到妳在咬指甲和走來走去，妳現在覺得怎麼樣？","妳很緊張吧，我們來聽音樂消除焦慮。","C",null,[],"本題考點為協助病人覺察焦慮與行為關聯的治療性溝通。要幫助病人建立情緒與行為的連結，最有效的方式是客觀描述所觀察到的具體行為，再邀請病人說出當下感受，讓其自行覺察兩者關係，C 以「我看到妳在咬指甲和走來走去，妳現在覺得怎麼樣？」正是此種觀察加開放式提問，故選 C。A 詢問對強迫症的看法偏向認知探討，未連結當下的行為與情緒。B 說症狀是正常的屬不當保證，且淡化問題無助覺察。D 直接下判斷「妳很緊張」並立即轉移去聽音樂，替病人貼標籤又迴避了自我覺察的過程。",[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",6,1783840785523]