[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-016":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-111-2-精神科與社區衛生護理學-016","nurse-111-2-psychiatric-community-016",111,2,16,"張太太，58 歲，診斷為憂鬱症，入院第三天，整天躺床，覺得焦慮不安、精神不集中且常常哭泣，對病房活動沒有參與動機，下列何者照護措施較適當？",{"A":14,"B":15,"C":16,"D":17},"安排在走廊最後一間的房間，以避免過多人走動而干擾病人的休息","選擇競爭性活動以增進病人的生存動機","接受病人宣洩抑鬱情緒的表達方式","安排白天參與需要耗費體力的活動","C",null,[],"本題考點是憂鬱症急性期的治療性護理措施。依治療性人際關係中「接納(acceptance)」原則,憂鬱病人的哭泣是抑鬱情緒的宣洩管道,護理人員接受其表達方式、陪伴並允許情緒流露,有助建立信任與情緒疏通,故 C 正確。A 錯在把病人安排於走廊最末間會增加孤立感,且憂鬱症病人有自殺風險,遠離護理站不利觀察,違反安全原則。B 錯在競爭性活動易帶來挫敗感,依憂鬱病人活動安排原則應選擇簡單、非競爭性、易完成的活動以累積成就感。D 錯在憂鬱症病人精力與動機低落,耗費體力的活動超出其負荷,應由簡短、低耗能活動漸進。",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",6,1783840786259]