[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-014":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-113-3-精神科與社區衛生護理學-014","nurse-113-3-psychiatric-community-014",113,3,14,"王女士，遭遇嚴重土石流而家園全毀，倖存後診斷為創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"應等待病人做好心理準備才進行危機處理，預後較佳","對人有疏離或與他人疏離，無法感到幸福與被愛","無法記得創傷事件的一個重要情節","可能會有恐懼、驚恐、憤怒、罪惡感和羞愧","A",null,[],"本題考點在於創傷後壓力症（PTSD）的臨床特徵與危機處理原則。本題為反向題，最不適切者為 A。危機介入強調「及早」在事件後提供支持與處理，以降低後續創傷後壓力症的嚴重度，故「應等病人做好心理準備才進行危機處理、預後較佳」的敘述不適切，A 錯誤。B 對他人疏離、難以感受幸福與被愛屬負向認知與情緒改變，正確；C 無法記得創傷事件的重要情節屬解離性失憶，正確；D 可能出現恐懼、驚恐、憤怒、罪惡感與羞愧，正確。判斷關鍵在於危機處理宜及早介入而非被動等待。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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":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",6,1783840790210]