[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-023":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-023","nurse-115-1-psychiatric-community-023",115,1,23,"張太太因先生車禍意外過世出現激動不安、捶打家人，遂被帶至急診救治。依據卡普蘭（Caplan.）危機理論，張太太目前處於危機發展過程的那一期？",{"A":14,"B":15,"C":16,"D":17},"衝擊期","崩潰期","求助時期","紊亂期","D",null,[],"本題考點是Caplan危機理論的分期。危機發展歷程依序為:衝擊期(遭遇壓力事件,焦慮升高,先以慣用方法因應)、紊亂期(慣用因應失敗,焦慮續升,情緒與行為明顯失序混亂)、求助期(嘗試動用一切內外資源尋求解決)、崩潰期(各種努力皆無效,人格解組甚至崩潰)。張太太面對先生車禍驟逝,出現激動不安、捶打家人的失控行為,顯示慣用因應機轉已無法處理壓力、行為明顯失序,屬紊亂期,故選D。她是被家人帶至急診而非主動求助,亦未達人格解組的崩潰程度,故C、B不符;衝擊期的失序程度尚不如此明顯,A亦不符。","Caplan理論的核心觀點:危機是「壓力事件超過個人慣用因應能力」的暫時性失衡狀態,通常在四至六週內達到某種解決——可能成長、恢復原狀或功能變差,因此危機也是介入的黃金機會。四期的行為線索速記:衝擊期=焦慮升但還在硬撐、紊亂期=撐不住而失序激動、求助期=向外抓資源、崩潰期=全面解組。危機介入原則是此時此地、聚焦當前問題、短期(數週)、協助恢復危機前功能水準,而非深入探討人格,這與長期心理治療的目標明顯不同。",[24,27,29,31],{"term":25,"count":26},"Caplan危機理論",2,{"term":28,"count":26},"危機介入原則",{"term":30,"count":10},"危機發展四期",{"term":32,"count":10},"紊亂期行為特徵",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-psychiatric-community-024","提供精神病人出院回歸社區的照護，下列敘述何者最適切？",24,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-psychiatric-community-020","丁小姐服用鋰鹽治療，護理師應注意那些鋰鹽中毒時常見的症狀？①意識障礙 ②腹瀉 ③肢體僵硬 ④眼球震顫",20,106,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-106-2-psychiatric-community-034","下列何者屬於精神衛生工作初級預防的護理功能？",34,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-2-psychiatric-community-072","有關國內接受免費乳癌篩檢之資格及頻率的敘述，下列何者正確？",72,107,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-2-psychiatric-community-036","王小姐 30 歲，診斷思覺失調症，參與社區俱樂部的活動，透過工作人員的協助，了解自己的問題、激發自己想改變行為的動機，並享有自決的能力，下列何者為王小姐主要採用的復元模式？",36,109,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-110-2-psychiatric-community-070","有關學校衛生法的敘述，下列何者錯誤？",70,110,"2026-08-06",1787299089935]