[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-006":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-113-1-精神科與社區衛生護理學-006","nurse-113-1-psychiatric-community-006",113,1,6,"汪小姐剛入住急性精神科病房，覺得門把骯髒，都使用紙張包覆才願意轉動把手，下列何項護理措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"不給與紙張，強迫他適應觸摸門把","向他解說，拿紙張是不必要的","要他負責清洗病房的門把","提供他紙張，直到他的焦慮減輕","D",null,[],"本題考點在於強迫症急性期的護理原則。依焦慮理論,強迫行為是個案用來緩解焦慮的防衛方式,急性期若強行剝奪儀式行為,焦慮會急遽升高甚至崩潰,故此階段應先接納並容許其強迫行為,提供紙張直到焦慮減輕,再逐步協助建立替代因應,選 D。A 強迫他直接觸摸門把等於粗暴剝奪防衛機轉,會使焦慮爆表;B 用說理否定其行為,強迫症病人明知不合理仍無法控制,解說無效且易增加羞愧感;C 要他負責清洗門把是懲罰性作法,違反治療性人際關係的接納原則。",[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":11,"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",1783840789201]