[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-016":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-016","nurse-113-2-psychiatric-community-016",113,2,16,"蕭小姐，46 歲，育有二子，因先生外遇，最近離婚後獨居，整日鬱鬱寡歡沉默不語，近日突出現語言障礙，發聲困難及奇異步態，影響日常作息，住院後神經學檢查無異常，下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"簡單環境介紹，不須過度詳細說明，以免增加蕭小姐負擔","協助蕭小姐改善身體不適、促進舒適，與其建立信任感為首要護理措施","首先應立即依據神經學檢查報告予以面質蕭小姐，促進面對問題進行心理治療","宜暗示檢查結果並不是百分之百正確，建議蕭小姐宜有更進一步檢查","B",null,[],"本題考點在於轉化症(conversion disorder)的護理處置。個案在心理壓力(離婚、獨居)後出現語言障礙、發聲困難與奇異步態,神經學檢查卻無異常,符合轉化症:心理衝突轉化為身體症狀且非病人偽裝。B 正確:協助改善身體不適、促進舒適並建立信任關係為首要護理措施,故為最適切、即答案。A「不須詳細說明以免增加負擔」低估病人、態度消極,並不恰當。C「立即依檢查報告面質病人」屬直接對質,會破壞信任並增加防衛,轉化症症狀非病人有意造成,面質無益。D「暗示檢查不準、建議再檢查」會強化病人對身體疾病的關注、延誤心理處理。考點在於轉化症以建立信任、接納症狀真實性、避免面質為原則。",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":46,"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",6,1783840789777]