[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-115-2-精神科與社區衛生護理學-001","nurse-115-2-psychiatric-community-001",115,2,1,"林先生，診斷為思覺失調症（schizophrenia），近因被害妄想、情緒激躁，因此住院治療，一週後情緒趨於穩定，林先生詢問何時可以出院，下列護理師告知病人的處理何者最適當？",{"A":14,"B":15,"C":16,"D":17},"和醫療團隊討論治療計畫","住院時間太短不適合出院","出院必須由家人同意","建議醫師調高藥物劑量","A",null,[],"本題考點為治療性溝通與病人自主權。依治療性人際關係原則,病人詢問出院時機屬合理關切,護理師的回應應誠實、尊重並促進病人參與治療決策;出院與否須經醫療團隊整體評估,故最適當的回應是和醫療團隊討論治療計畫,既不敷衍也不越權承諾,選A。B直接否定病人期待,屬阻斷溝通,且住院長短應依病情評估而非單以時間論斷。C錯在成年病人出院原則上不以家人同意為要件,此說法剝奪病人自主權。D答非所問,病人情緒已趨穩定,逕自提議調高藥物劑量既無依據也未回應病人的疑問。","此類「病人提問如何回應」的題型,篩選原則有三:一看是否誠實(排除不實保證,如「很快就會好」);二看是否尊重自主(排除越俎代庖,如「必須家人同意」);三看是否促進參與(共享決策優於單向告知)。凡選項出現「否定、敷衍、轉移話題、假保證」即可先刪。本題A同時滿足誠實、尊重、促進參與三要件,並將出院決策正確定位為團隊合作事項,是精神科溝通題的標準正解模式。可連結複習:治療性溝通技巧(開放式問句、澄清、反映)與非治療性溝通(不實保證、批判、轉移話題)的對照。",[24,27,29,31],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":10},"病人自主權",{"term":30,"count":11},"醫療團隊合作",{"term":32,"count":11},"共享決策",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":10,"year":9,"session":10},"nurse-115-2-psychiatric-community-002","有關精神障礙病人在復元過程的敘述，下列何者正確？",{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-106-1-psychiatric-community-048","對處於潛伏期的結核感染者進行痰塗片及痰液培養，下列反應何者正確？",48,106,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-106-2-psychiatric-community-062","生命統計中，常用到比例（ratio），下列何者不包含在內？",62,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-108-2-psychiatric-community-020","照護雙相情緒障礙症病人，因病人情緒高昂與挑釁，護理師出現生氣厭煩情緒，此時護理師該如何處理自己的情感反轉移？",20,108,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-109-2-psychiatric-community-064","有關更年期婦女骨質疏鬆危險因子的敘述，下列何者較不適當？",64,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-111-1-psychiatric-community-018","有關思覺失調症（Schizophrenia）病程進展的描述，下列何者最適當？",18,111,"2026-08-06",1787299016775]