[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-025":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-025","nurse-114-2-psychiatric-community-025",114,2,25,"小美與父親在大地震中雙雙遭震垮的房屋壓住，父親當場不幸過世，小美經過急救後，挽回性命，但雙腿截肢。有關災難倖存者在急性期的反應表現，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"會有揮之不去的印記","因為親人死亡伴隨著罪惡感","出現無端的憤怒","會接納自己與家人的遭遇","D",null,[],"本題考點在於重大災難倖存者急性期的心理反應。急性期（事件後數日至數週）常見反應包括揮之不去的創傷影像與記憶（侵入性回憶）、倖存者罪惡感、無端的憤怒與情緒波動等急性壓力反應。本題為反向題，最不適當者為 D：「會接納自己與家人的遭遇」屬創傷後期整合與復原階段才逐漸出現的狀態，急性期倖存者通常仍處於震驚、否認與情緒混亂，尚無法接納，故 D 錯而為答案。A、B、C 分別描述侵入性印記、罪惡感與無端憤怒，皆為急性期典型反應而正確。掌握「急性期以震驚、侵入、罪惡與憤怒為主，接納屬後期復原」即可作答。",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",6,1783840791265]