[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-006":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-006","nurse-113-2-psychiatric-community-006",113,2,6,"吳先生，25 歲，唸高中時出現幻聽、被害妄想，開始接受精神科治療，近三個月自行減藥，症狀越來越嚴重，他告訴護理師：「我知道我有精神病，我知道我的病吃藥可以改善，但我就是不想吃那麼多藥。」這是屬於何種病識感？",{"A":14,"B":15,"C":16,"D":17},"無病識感（no insight）","理智性病識感（intellectual insight）","部分病識感（partial insight）","情感性病識感（true emotional insight）","B",null,[],"本題考點在於病識感(insight)的分類。病識感指病人對自身罹病的認知程度,分為無病識感、理智性病識感與真正情感性病識感。個案能陳述「我知道我有病、吃藥可以改善」顯示他理智上承認生病與治療益處,但「就是不想吃那麼多藥」代表情感上未真正接受、無法轉化為持續服藥的行動。B 正確:這種「知道卻做不到」正是理智性病識感(intellectual insight),故為答案。A 無病識感是完全否認生病,與個案陳述不符。C 部分病識感指僅承認部分症狀或間歇承認,個案已完整認知疾病與治療。D 真正情感性病識感應能將認知內化並帶動行為改變(規律服藥),個案顯然未達此層次。",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":11,"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",1783840789697]