[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":26},"nurse-115-1-精神科與社區衛生護理學-008","nurse-115-1-psychiatric-community-008",115,1,8,"有關家庭結構評估，下列何者屬於內在結構？",{"A":14,"B":15,"C":16,"D":17},"文化","次系統","社經地位","宗教","B",null,[],"本題考點是Calgary家庭評估模式中家庭結構的分類。家庭結構評估分為三部分:內在結構包括家庭組成、性別、出生序、次系統與界限;外在結構指延伸家庭與更大的外在系統;脈絡(context)則涵蓋種族、社會階層(社經地位)、宗教、文化與環境。「次系統」指家庭內依世代、性別或功能形成的小單位,如夫妻、親子、手足次系統,屬家庭內部組織,是內在結構,故選B。A文化、C社經地位、D宗教皆屬家庭所處的脈絡層面,並非內在結構,故不正確。","Calgary家庭評估模式(CFAM)分結構、發展、功能三大面向;結構面向的三分法可用「內、外、境」速記:內在=家裡的人怎麼組成與分工(組成、性別、出生序、次系統、界限),外在=家庭連到外面的系統(延伸家庭、機構),脈絡=家庭泡在什麼環境裡(種族、階層、宗教、文化、環境)。次系統與界限的概念亦承襲自Minuchin結構家族治療:界限過僵則疏離、過鬆則糾結,是後續家庭功能評估的延伸考點。",[24,27,29,30],{"term":25,"count":26},"家庭內在結構",3,{"term":28,"count":10},"Calgary家庭評估模式",{"term":15,"count":10},{"term":31,"count":10},"脈絡(文化、宗教、社經地位)",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-009","有關思覺失調症病因之描述，下列何項正確？①負性症狀主要與多巴胺活動量過高有關                  ②父母為高情緒表達且互動僵化      ③其發病與遺傳因素有相關           ④病人的自我（ego）功能異常",9,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"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？",5,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-psychiatric-community-019","臨床上採用 Aricept 作為治療阿茲海默症初、中期的記憶障礙，其主要作用機轉為何？",19,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-psychiatric-community-057","社區護理師希望知道社區的權力分配、溝通方式、問題解決辦法、決策過程等資訊，較適當的評估方法為何？",57,107,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-109-2-psychiatric-community-021","蔡小姐診斷為思覺失調症，第一次發病，護理師觀察到個案眼神閃爍，站在病室前，神情緊張，個案告訴護理師一直聽到有人在罵自己醜女人，我真的好痛苦，下列護理師的回應何者最適切？",21,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-psychiatric-community-055","社區護理師與社區運動性社團共同推動健康體能活動，是依據社區健康營造的何種步驟？",55,110,"2026-08-06",1787299089743]