[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-025":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-025","nurse-111-1-psychiatric-community-025",111,1,25,"王先生，診斷為廣泛性焦慮症，住院第一天顯得坐立不安、肌肉緊繃。有關此時會談的重點，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"你以前緊張時都是怎麼處理的？","是否因為擔心工作的事而引起？","你和家人相處的狀況如何？","請你說說你現在覺得怎麼樣？","D",null,[],"本題考點在廣泛性焦慮症急性期的治療性溝通原則。依治療性人際關係理論，病人正處於高度焦慮、坐立不安、肌肉緊繃的狀態，此時應使用開放式問句，聚焦於當下的主觀感受，協助其宣洩情緒與建立信任，故「請你說說你現在覺得怎麼樣？」最適當，選 D。考點在於辨識高焦慮情境下的會談優先順序。A 詢問過去因應方式屬問題解決層次，焦慮高峰時病人難以理性回顧；B 直接歸因「工作」是護理師的假設，屬引導式封閉問句，可能誤導；C 轉向家庭關係偏離當下情緒焦點。故 D 最能反映此時會談重點。",[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",6,1783840785547]