[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-003":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-113-2-精神科與社區衛生護理學-003","nurse-113-2-psychiatric-community-003",113,2,3,"李小姐，診斷為思覺失調症，主治醫師告知下星期要安排她出院返家，不料她面有難色，靜坐在大廳半小時。下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"轉介心理師進行人格測驗","同理李小姐對出院的想法或感受","教導李小姐辦理出院的手續","向李小姐保證有困難可以再入院","B",null,[],"本題考點在於治療性溝通技巧中「同理(empathy)」的運用時機。個案面對出院面有難色、靜坐大廳,顯示對出院有未表達的擔憂與情緒。B 正確:此時應先同理她對出院的想法與感受,建立信任、鼓勵表達情緒,才能進一步了解阻礙,故為最適切、即答案。A 轉介人格測驗與其情緒困擾無直接關聯,且非當下所需。C 教導辦手續是跳過情緒直接處理事務,忽視個案的心理需求。D「保證有困難可再入院」屬不當保證(false reassurance),阻斷情緒探索且傳達出院即失敗的暗示。考點在於情緒議題優先以同理回應,而非急於給答案或事務指導。",1,[24,28,31,34,38,42],{"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":11,"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？",{"webId":35,"stem":36,"number":37,"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":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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",6,1783840789657]