[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-007":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":10},"nurse-115-2-精神科與社區衛生護理學-007","nurse-115-2-psychiatric-community-007",115,2,7,"以下治療性團體中的對話，小芬的回應最能顯示何項團體療效因子？小明：「我覺得我很失敗，一輩子都沒辦法從這種狀態中走出來。」小芬：「我之前也有這種感覺，但從團體中，我學會了接受自己的情緒，還重新找回了工作的方向，你要有信心。」",{"A":14,"B":15,"C":16,"D":17},"情緒宣洩（catharsis）","存在因子（existential factor）","灌注希望（instillation of hope）","發展社交互動技巧（development of socializing techniques）","C",null,[],"本題考點為Yalom團體治療療效因子的辨識。小芬以自身經驗回應:「我之前也有這種感覺,但從團體中走出來、找回工作方向,你要有信心」,是以自己康復的見證讓其他成員相信自己也有好轉的可能,正符合灌注希望(instillation of hope)的定義——看見他人進步而對自己的復原燃起希望,故C正確。A錯在情緒宣洩指成員表達壓抑情緒而獲得釋放,小芬是給予鼓勵而非宣洩情緒。B錯在存在因子是對生死、孤獨、責任等存在議題的體悟,與對話內容不符。D錯在發展社交互動技巧指在團體中練習人際技巧,亦非此對話的重點。","Yalom療效因子辨識題的解題訣竅是抓「動作方向」:誰對誰做了什麼。成員看見他人好轉而生信心=灌注希望;發現「原來不只我這樣」=普同感;成員彼此提供建議協助=利他主義;痛快傾吐壓抑情緒=情緒宣洩;在團體重現並修正原生家庭經驗=原生家庭矯正性重現;領悟人生終須自己負責=存在因子。本題易與普同感混淆,區辨點在小芬不只說「我也有過」,更以「我走出來了」的康復示範鼓勵對方要有信心,落點在希望的灌注而非單純的共鳴。",[24,26,28,30],{"term":25,"count":10},"灌注希望",{"term":27,"count":10},"普同感",{"term":29,"count":10},"情緒宣洩",{"term":31,"count":32},"Yalom團體療效因子",1,[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-psychiatric-community-008","王小姐，診斷思覺失調症，主要症狀為被害妄想、多疑，難以與他人建立信任關係，下列那些符合環境治療的原則？①採取主動友善的態度，密集與其互動 ②注意環境並定時安檢，維護其他病人的安全 ③僅在必要時給予簡要的問候，不過度主動關心 ④暫時停止其所有的團體活動，以降低其妄想與多疑",8,{"webId":39,"stem":40,"number":41,"year":42,"session":32},"nurse-106-1-psychiatric-community-054","下列造成職業危害的原因，何者與個人因素有關？",54,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-psychiatric-community-068","小李食用真空包裝豆乾，半天後出現噁心、嘔吐、吞嚥困難及口乾、看不清楚、呼吸漸喘等症狀，最有可能是下列何種狀況？",68,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-2-psychiatric-community-026","朱小姐，一位住院的精神病人，22 歲，護生實習照顧她已三週，護理師觀察到朱小姐與護生互動良好，且都能在護生陪同下配合病房活動，但每天約下午 3 點多護生與護理師交班時，朱小姐會出現焦慮，害怕的情形，而頻頻要求入保護室，請問下列那一項可列入照護計畫中？",26,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-2-psychiatric-community-070","有關居家護理的描述，下列何者錯誤？",70,109,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-111-1-psychiatric-community-024","下列何種藥物，常用於治療強迫症病人的強迫行為？",24,111,"2026-08-06",1787299016834]