[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-005":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-005","nurse-113-2-psychiatric-community-005",113,2,5,"有關恐慌症的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"為器質性因素所引起的急性混亂","藥物治療以情緒穩定劑如鋰鹽為主","心理治療無助於改善病情","發作時應以病人安全為優先處置","D",null,[],"本題考點在於恐慌症(panic disorder)的臨床特性與處置原則。恐慌症屬焦慮症,發作時出現突發強烈的心悸、呼吸困難、瀕死感等,個案可能因極度恐慌而有失控或危險行為。D 正確:發作時應以病人安全為優先,陪伴、提供安靜環境、引導緩慢呼吸,故為最適切、即答案。A 錯誤:恐慌症屬焦慮性(功能性)疾患,非「器質性因素」引起的急性混亂(器質性指腦部實質病變)。B 錯誤:藥物以抗焦慮劑(benzodiazepines)與 SSRI 抗憂鬱劑為主,而非情緒穩定劑鋰鹽(鋰鹽用於雙相情緒障礙)。C 錯誤:認知行為治療對恐慌症效果明確,心理治療並非無助。考點在於恐慌症的藥理分類與急性期安全處置。",1,[24,28,31,35,39,42],{"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":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":11,"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？",{"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",6,1783840789687]