[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-012","nurse-115-1-psychiatric-community-012",115,1,12,"有關被害妄想的護理措施，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"積極與病人互動","頻繁評估其妄想內容","採被動友善方式接近病人","做任何護理技術時不需要額外解釋","C",null,[],"本題考點是被害妄想病人的護理措施。被害妄想病人對外界充滿猜疑與不信任,建立信任關係應採被動友善(passive friendliness)的態度:護理師表達關心與可近性,但不強行介入,讓病人依自己的步調逐漸靠近,故C最適切。A積極主動頻繁互動,易被病人解讀為別有意圖或侵犯,反而加深猜疑;B頻繁探問妄想內容形同聚焦並強化妄想,且護理師易被納入妄想系統;D相反,執行任何護理技術前更應簡要說明目的與步驟,以降低被害解讀,不解釋只會破壞信任。","面對妄想的三不三要:不爭辯、不批判、不假裝認同;要接納感受、要簡短誠實說明、要以中性活動轉移注意。被害妄想病人的照護細節還包括:給藥時使用原包裝並說明藥名用途、避免在病人面前與他人耳語(易被解讀為密謀)、動作放慢並保持適當距離。「被動友善」與退縮病人適用的「主動友善(active friendliness)」正好成對比,是選擇題最愛的對照考點:猜疑者用被動、退縮者用主動。",[24,27,30,32],{"term":25,"count":26},"被害妄想",10,{"term":28,"count":29},"信任關係建立",4,{"term":31,"count":10},"被動友善態度",{"term":33,"count":10},"妄想的護理原則(不爭辯、不強化)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-psychiatric-community-013","​林 先生，躁症發作（manic episode）住院，在病房客廳對著病友們滔滔不絕的批判醫護人員、醫院設施，並表示要投訴媒體。下列何項最適宜此時護理處置？",13,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-psychiatric-community-009","王先生，因罹患思覺失調症（schizophrenia）而被家人帶來住院，護理師予進行精神護理評估，下列陳述何項正確？①問病人：有志者事竟成之含義為何？屬抽象能力評估 ②問病人：今天一天中發生的事情？屬近期記憶評估 ③問病人：男人與女人有何不同？屬判斷力評估 ④問病人：臺灣過年時大家都會作些什麼事？屬一般常識評估",9,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-psychiatric-community-023","有關自殺防治的敘述，下列何者正確？",23,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-107-2-psychiatric-community-061","為有效改變學習者之態度，下列那些教學方法較為適當？①專家報告 ②討論法 ③角色扮演 ④價值澄清法 ⑤辯論",61,107,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-109-2-psychiatric-community-025","陳女士 45 歲，診斷思覺失調症，已有 20 年病史，無明顯急性症狀，有部分自我照顧能力不足，下列護理措施何項較適合？",25,109,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-110-2-psychiatric-community-059","下列何者是目前健康體適能的測量指標？",59,110,"2026-08-06",1787299089775]