[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":10},"nurse-115-1-精神科與社區衛生護理學-001","nurse-115-1-psychiatric-community-001",115,1,"吳小姐，24歲，碩士生，單親家庭，因應疫情返家遠距學習，在家期間與母親朝夕相處備感壓力。返診時對護理師說:「我坐在房間窗邊會想，如果跳下去會怎樣？」，根據同理心的原則，下列何項護理師的回應最適切？",{"A":13,"B":14,"C":15,"D":16},"「請問你住幾樓？」","「你有不想再活下去的念頭嗎？」","「你還很年輕，人生才要開始。」","「等疫情降級跟媽媽分開來住，這種情況就會改善。」","B",null,[],"本題考點為自殺意念的評估與同理心溝通。病人透露「跳下去會怎樣」屬自殺意念的暗示,依自殺防治原則,直接而開放地詢問自殺想法並不會誘發自殺,反而能傳達關注、精確評估危險程度,故選項B以直接核對求死念頭的方式回應最適切。A只追問樓層,未回應病人的情緒,反而聚焦於自殺方法細節,失去治療性;C「還很年輕」屬陳腔濫調式安慰,否定病人當下的感受;D急於給建議並保證分開住就會改善,屬不實保證與過早建議,皆違反同理心原則。","同理心的操作順序是「接收訊息→辨識感受→反映與核對」,重點在進入病人的主觀世界,而非急著解決問題。自殺評估的臨床共識是:公開談論自殺可降低而非升高風險,評估內容依序包括意念(ideation)、計畫(plan)、方法可近性(means)與過去企圖史。B正是核對「意念」這一步。記憶對比:陳腔濫調、不實保證、過早建議、轉移話題皆屬非治療性溝通,選項C、D即為典型示例;而A雖看似在問計畫,卻跳過情緒反映且問法不具治療脈絡,反而失焦。",[23,25,27,29],{"term":24,"count":10},"同理心原則",{"term":26,"count":10},"自殺意念評估",{"term":28,"count":10},"非治療性溝通(陳腔濫調、不實保證)",{"term":30,"count":10},"自殺防治守門人概念",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-115-1-psychiatric-community-002","向精神病人和家屬說明電痙攣療法對憂鬱症的療效和治療過程，讓他們可以充分了解後再決定簽署同意書，此時醫療人員是秉持下列那一項倫理原則？",2,{"webId":37,"stem":38,"number":39,"year":9,"session":35},"nurse-115-2-psychiatric-community-048","曾先生為失智症個案，可自主活動，主要照顧者為媳婦，曾接受過照顧服務員訓練，照顧個案達 3 年，家人希望由自己人照顧，但媳婦身心疲憊，期待可以休息旅遊；也表示獨自照顧的孤單感受。下列那些服務項目最適合提供給照顧者？①轉介安養機構資訊 ②指導照護技巧 ③喘息服務資訊 ④情緒支持",48,{"webId":41,"stem":42,"number":43,"year":44,"session":35},"nurse-106-2-psychiatric-community-012","護理師與病人在治療性人際關係建立的過程中，工作期階段的主要任務為何？",12,106,{"webId":46,"stem":47,"number":48,"year":49,"session":35},"nurse-107-2-psychiatric-community-050","引起護理師下背痛的主要危險因子為何種類型？",50,107,{"webId":51,"stem":52,"number":53,"year":54,"session":35},"nurse-109-2-psychiatric-community-014","有關精神病理學症狀的描述，下列何者正確？",14,109,{"webId":56,"stem":57,"number":39,"year":58,"session":35},"nurse-110-2-psychiatric-community-048","社區護理師宜根據流行病學的方法學進行健康議題之評估，下列敘述何者正確？",110,"2026-08-06",1787299089663]