[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-001":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":11},"nurse-111-2-精神科與社區衛生護理學-001","nurse-111-2-psychiatric-community-001",111,2,1,"倪女士，29 歲，程式工程師，輕躁症發作（hypomanic episode）。「我都有按照醫生的交代認真吃藥，為什麼還會發病？」護理師說：「你覺得很挫折，覺得自己很認真的吃藥卻還是發病」，此時護理師所運用的溝通技巧，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"反映","鼓勵比較","面質","提出懷疑","A",null,[],"本題考點為治療性溝通技巧中的「反映(reflection)」。反映是護理師將病人所表達的情緒與感受重述回去,幫助病人覺察自己的情緒。題中護理師說「你覺得很挫折,覺得自己很認真吃藥卻還是發病」,正是將病人隱含的挫折感受重述反饋,屬反映技巧,故答案為 A。B 鼓勵比較是引導病人比較不同經驗或情境的異同,題中未涉及比較;C 面質是指出病人言行不一致之處,題中並無指出矛盾;D 提出懷疑是對病人不合現實的想法表達存疑,題中護理師是同理而非質疑。考點在於辨識「重述情緒感受」對應反映,而非比較、面質或懷疑。",[23,27,30,34,38,42],{"webId":24,"stem":25,"number":11,"year":26,"session":11},"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":10,"year":26,"session":11},"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":31,"stem":32,"number":33,"year":26,"session":11},"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":35,"stem":36,"number":37,"year":26,"session":11},"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":39,"stem":40,"number":41,"year":26,"session":11},"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":43,"stem":44,"number":45,"year":26,"session":11},"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",6,1783840786096]