[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-024":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-112-2-精神科與社區衛生護理學-024","nurse-112-2-psychiatric-community-024",112,2,24,"有關病人以身體症狀帶來附帶收穫（secondary gain）的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"病人能增加病識感及服藥意願","滿足病人依賴的需求，減輕需負的責任","病人的記憶力與定向感下降","病人能增加社會互動的意願","B",null,[],"本題考點是身體症狀的附帶收穫（secondary gain）之定義。依精神動力學概念，初級收穫（primary gain）是症狀本身可降低內在焦慮，附帶收穫則是因為生病而從環境獲得的外部好處，例如被照顧、免除工作或責任、滿足被依賴的需求，故正解為 B。A 錯，增加病識感與服藥意願屬治療成效，與利用症狀換取好處無關。C 錯，記憶力與定向感下降是認知功能障礙（如譫妄、失智）的表現，並非附帶收穫的概念。D 錯，附帶收穫多使病人退縮、依賴且逃避責任，而非主動增加社會互動意願，反而常導致社交功能退化。考點在於辨識附帶收穫的核心是「藉症狀獲得外部利益、減輕應負責任」。",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",6,1783840787953]