[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-022":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-022","nurse-111-2-psychiatric-community-022",111,2,22,"有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"對災難事件不斷反覆的經驗再現（flashback）","持續逃避與此創傷有關的刺激","症狀持續超過 1 個月","常使用抵消的防衛機轉代號： 5104 頁次： 6－3","D",null,[],"本題考點是創傷後壓力症(PTSD)的臨床特徵與防衛機轉,選「錯誤」敘述。依精神分析防衛機轉理論,PTSD 病人常用的是壓抑(repression)、否認(denial)、退化(regression)等機轉;「抵消(undoing)」是以象徵性行為消除先前行為或想法帶來的焦慮,典型見於強迫症,並非 PTSD 常用機轉,故 D 錯誤而為本題答案。A 正確:創傷事件反覆經驗再現(flashback)是 PTSD 的侵入性症狀核心。B 正確:持續逃避與創傷有關的刺激(人、地、話題)屬逃避症狀群。C 正確:依 DSM-5,PTSD 症狀須持續超過 1 個月,未滿 1 個月者屬急性壓力症。",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",6,1783840786307]