[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-017":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-017","nurse-114-2-psychiatric-community-017",114,2,17,"承上題，對於李同學應採取的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"衛教李同學及家長，不必特別處置，數天內症狀就會緩解","持續更縝密的神經學檢查，直到找出神經學病因","讓李同學請病假，不用考試，以移除壓力源","症狀可藉由暗示、建議或藥物催眠會談得到改善","D",null,[],"本題考點在於轉化症的治療與護理原則。承上題個案為轉化症，其症狀源於潛意識心理衝突，治療重點在減壓與心理處置，臨床上症狀可透過暗示、建議或藥物催眠會談（如 amytal interview）等方式改善，故 D 最適當為答案。A 錯，「不必特別處置、數天內自然緩解」忽視潛在心理壓力源，且過度輕忽衛教並不適當；B 錯，神經學檢查已證實功能正常，再持續縝密檢查反而強化病人對身體症狀的關注（強化病態行為）；C 錯，讓病人請假免考以移除壓力，等於直接滿足其潛在的次級獲益（secondary gain），會強化症狀反覆出現。核心在心理處置而非強化病態或滿足次級獲益。",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",6,1783840791204]