[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-011","nurse-115-1-psychiatric-community-011",115,1,11,"謝先生，診斷為雙相情緒障礙症，因要求外出抽菸未獲同意，在病室內摔東西。下列何項護理措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"以嚴厲語氣制止病人","引導病人用言語表達憤怒","立即告知會延後病人出院的日期","直接將病人約束","B",null,[],"本題考點是憤怒與破壞行為的護理處置原則。憤怒處理的核心是協助病人以語言表達取代行動化(acting out),引導其辨識憤怒的來源與感受,既能宣洩情緒,又能學習適應性的因應方式,故B最適宜。A以嚴厲語氣制止具威嚇與對立性,容易升高衝突;C以延後出院作為警告屬懲罰性、威脅性言語,破壞治療性關係且與行為處置無關;D病人目前僅摔物品,尚未直接危及自己或他人安全,直接約束不符「最後手段、最小限制」原則,應先採言語安撫與引導等較小限制的措施。","攻擊行為的處置有層級順序:口語安撫與同理→引導言語表達、辨識誘因→降低環境刺激或帶離現場→提供發洩替代管道→藥物→隔離約束(最後手段)。雙相情緒障礙症病人躁期挫折忍受度低,遇要求被拒易爆發,護理重點是「接納情緒、設限行為」:情緒可以被表達,但破壞行為需要溫和而堅定的限制。記法:先「說」後「藥」再「綁」,順序顛倒即是常見錯誤選項的出題方式。",[24,27,29,31],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":10},"行動化(acting out)",{"term":30,"count":10},"憤怒的言語化表達",{"term":32,"count":10},"攻擊行為處置層級",[34,37,42,47,52,57],{"webId":35,"stem":36,"number":26,"year":9,"session":10},"nurse-115-1-psychiatric-community-012","有關被害妄想的護理措施，下列何者最適切？",{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-psychiatric-community-008","在家庭治療理論中，認為當家庭成員出現功能上的改變，會影響其他成員，且主張偏差行為或心理問題是整個家庭系統的產物，而不是個人單一的問題，此為那類學派之理論重點陳述，下列何項正確？",8,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-psychiatric-community-022","長期大量使用某種物質，在停用或減用後，會出現渴藥、不安、流淚、發汗、瞳孔放大、虛弱無力、噁心、腹痛、骨頭酸痛、失眠等，最可能是下列何種濫用物質的戒斷反應？",22,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-psychiatric-community-060","使用曝氣法處理水質的目的，下列何者正確？",60,107,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-109-2-psychiatric-community-024","承上題，楊女士有活動過多情形，安排下列何項活動較適合？①寫書法 ②繪畫 ③下棋 ④剪紙",24,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-psychiatric-community-058","依據跨理論模式（transtheoretical model），王女士陳述「我想要運動，但就是找不到時間。如果我能每週運動 3 天，我對於自己的感覺會比較好。」，依據王女士目前所處的行為改變階段，下列何種方法最適當？",58,110,"2026-08-06",1787299089770]