[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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,"explanationDeep":22,"topics":23,"freq":10},"nurse-115-1-精神科與社區衛生護理學-004","nurse-115-1-psychiatric-community-004",115,1,4,"病人是20歲大學重考生，從小備受呵護寵愛長大，個性內向順從，成績中等。指考失利後，出現心情低落、胃口差、失眠等症狀，醫師診斷為鬱症，住院治療 2 週後，父母認為病人需要重回補習班接受鞭策，因此辦理自動出院，病人出院後出現自殺企圖。下列敘述何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"大學考試失敗是生病的潛在因素（predisposing factor）","從小個性內向順從是生病的促發因素（precipitating factor）","父母的照護能力是生病的續存因素（perpetuating factor）","成長過程受寵愛呵護是生病的促發因素（precipitating factor）","C",null,[],"本題考點是疾病三P因素的區辨:潛在因素(predisposing)是長期存在的易感體質與成長背景;促發因素(precipitating)是發病前的急性壓力事件;續存因素(perpetuating)是使病情持續或惡化的條件。病人住院僅兩週,父母缺乏病識感、強行辦自動出院並要求重回補習班受鞭策,使治療中斷、病情延續甚至惡化並出現自殺企圖,父母的照護能力正屬續存因素,故C正確。A錯:考試失利是急性事件,屬促發因素;B錯:個性內向順從是長期特質,屬潛在因素;D錯:自小受寵呵護的成長過程同屬潛在因素。","三P模式(有時加上保護因素成為4P)是個案概念化的基本架構:潛在因素回答「為什麼是這個人容易生病」(體質、人格、早年經驗),促發因素回答「為什麼是現在發病」(近期壓力事件),續存因素回答「為什麼病好不了」(持續存在的環境或關係壓力、治療中斷)。速記:潛在=遠因、促發=近因、續存=拖延因。考題只要把每個敘述放進「遠、近、拖」三格檢查,配對錯誤的選項即可快速刪除。",[24,26,28,30],{"term":25,"count":10},"潛在因素(predisposing factor)",{"term":27,"count":10},"促發因素(precipitating factor)",{"term":29,"count":10},"續存因素(perpetuating factor)",{"term":31,"count":10},"個案概念化",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-005","有關老人憂鬱症的敘述，下列何者錯誤？",5,{"webId":38,"stem":39,"number":10,"year":40,"session":10},"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":42,"stem":43,"number":44,"year":40,"session":45},"nurse-106-2-psychiatric-community-015","王先生診斷雙相情緒障礙症，30 歲。王先生住院後，不斷的投書給醫院的院長，對病房設施提出多項建議，護理師的處置下列何者最適宜？",15,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-107-2-psychiatric-community-053","社區衛生護理可分為綜合性（generalized）與專科化（specialized）兩種方式推展，有關綜合性社區衛生護理的敘述，下列何者錯誤？",53,107,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-109-2-psychiatric-community-017","身為主護護理師，此階段照護何者最重要？",17,109,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-110-2-psychiatric-community-051","進行社區健康評估時，評估社區民眾教育程度的主要理由，下列何者最適當？",51,110,"2026-08-06",1787299089696]