[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-精神科與社區衛生護理學-003","nurse-114-2-psychiatric-community-003",114,2,3,"林太太因為同時面臨工作、婚姻、親子互動等多項挫折，而有憂鬱情緒，護理師的回應下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"你可以跟我訴說你難過時的心情與感受","你的憂鬱情緒一定會很快就好起來的，不用想那麼多","陪伴林太太坐著，不用刻意說些什麼","我了解面對這麼多的問題，讓你感到難受","B",null,[],"本題考點在於憂鬱情緒個案的治療性溝通技巧。面對多重壓力而憂鬱的個案，適當回應應以同理、傾聽、陪伴為主，接納其感受而不否定或給予空泛保證。本題為反向題，不適當者為 B：「一定會很快好起來、不用想那麼多」屬虛假保證與否定情緒（false reassurance），會讓個案覺得不被理解、感受被輕忽，故 B 不適當而為答案。A 適當，邀請個案表達難過情緒是鼓勵宣洩；C 適當，靜默陪伴（therapeutic silence）傳達支持與接納；D 適當，「我了解這麼多問題讓你難受」是同理心的具體反映。核心在避免虛假保證、多用同理與傾聽。",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",6,1783840791074]