[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-016":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-016","nurse-113-1-psychiatric-community-016",113,1,16,"李同學，12歲，對無法停止洗手行為，感到情緒低落並無自信，導致每次不停的洗手，即使手已經破皮仍繼續洗手。護理師建議李同學藉由玩自己最喜歡的小小兵玩具轉移注意力並練習不繼續洗手。此種照護處置是應用下列何種治療技巧？",{"A":14,"B":15,"C":16,"D":17},"沙箱療法（sand body therapy）","非指引性治療（non-directive play）","暴露與反應阻止法（exposure and response prevention）","生理回饋（bio-feedback）","C",null,[],"本題考點在於強迫症行為治療技巧的辨識。依行為治療理論,暴露與反應阻止法(ERP)是讓個案暴露於引發焦慮的情境(手接觸「髒」的感覺、焦慮升起),同時阻止其執行強迫行為(不繼續洗手),並以替代活動(玩喜歡的小小兵玩具轉移注意)協助耐受焦慮,直到焦慮自然消退,本題處置正是「練習不洗手+轉移注意」的反應阻止設計,故選 C。A 沙箱(沙遊)療法是透過沙盤與小物件投射內在世界的表達性治療,與阻止洗手無關;B 非指引性遊戲治療強調治療者不主導、由兒童自由表達,本題護理師明確指導策略,並非非指引性;D 生理回饋是藉儀器監測生理訊號(如肌電、心率)學習自我調控,題中無任何儀器監測。",[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":46,"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",6,1783840789301]