[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-040","nurse-115-1-psychiatric-community-040",115,1,40,"有關家庭的成長性和情境性危機敘述，下列何者正確？①成長性危機通常是可預測的      ②情境性危機是專指負向事件   ③中頭彩可能造成家庭的情境性危機   ④外派進修屬成長性危機",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②③","②④","B",null,[],"本題考點為家庭危機的兩大類型與其判別特徵。成長性(發展性)危機源自家庭生命週期各階段必然出現的轉變,如結婚、生育、子女入學、空巢與退休,因為循序發生所以具可預測性,①正確;情境性危機則來自突發、非預期的生活事件,其關鍵在於事件是否打破原有平衡並要求家庭重新適應,而非事件本身的好壞,中頭彩雖屬正向事件,仍可能引發家庭角色、金錢分配與人際關係的劇烈變動而形成危機,③正確,故正解為 B。②錯誤:情境性危機不限於負向事件,正向事件同樣可能構成。④錯誤:外派進修屬突發且非家庭生命週期必經的事件,應歸為情境性危機。","危機理論的核心是 Caplan 的平衡模式:個人或家庭原本處於平衡,遇壓力事件後若既有因應方式與資源足以處理則回復平衡,否則進入危機狀態,一般在四至六週內會重新形成新的平衡(可能較佳也可能較差),故危機介入強調短期、聚焦當下問題與動員支持系統。家庭壓力另可用 Hill 的 ABCX 模式理解:A 為壓力源事件、B 為家庭既有資源、C 為家庭對事件的認知詮釋、X 為危機程度,三者交互決定同一事件為何在不同家庭產生不同衝擊,這也解釋了中頭彩何以可能致危機。延伸概念:雙 ABCX 模式、家庭生命週期發展任務、家庭復原力。",[24,27,29,31,33],{"term":25,"count":26},"情境性危機",3,{"term":28,"count":26},"家庭生命週期",{"term":30,"count":10},"成長性危機",{"term":32,"count":10},"危機理論",{"term":34,"count":10},"ABCX 模式",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-041","有關提升原住民慢性病健康照護政策之敘述，下列何者最不適當？",41,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-037","朱女士，40 歲，因為先生癌症過世，朱女士由於未見到先生最後一面，非常的自責，表示想跟著先生一起走，而被家人送來精神科門診，依據安吉列拉（Aguilera，1998）提出的危機形成影響因素，進行評估壓力事件是否會形成危機，下列那一項評估項目最適切？",37,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-psychiatric-community-051","張先生為中度失智個案，常有走失、健忘、重複問時間、焦慮等問題，社區衛生護理師家訪時對家屬的建議，下列何者最不適當？",51,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-108-2-psychiatric-community-009","馬先生，患思覺失調症約 2 年，近日與人爭吵，擔心會被殺害而不敢睡覺，整天疑神疑鬼，且對此想法堅信不移，無法接受別人的建議，有關馬先生防衛機轉之敘述，下列何者正確？",9,108,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-109-2-psychiatric-community-053","下列何者不是「渥太華憲章」提出的健康促進五大行動綱領所包含之內容？",53,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-1-psychiatric-community-007","承上題，陳護理師與新病人接觸前，宜優先進行下列何項措施？",7,111,"2026-08-06",1787299090129]