[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-008":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-115-2-精神科與社區衛生護理學-008","nurse-115-2-psychiatric-community-008",115,2,8,"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",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","②④","C",null,[],"本題考點為多疑、被害妄想病人的環境治療原則。對難以建立信任關係的妄想病人,互動宜低刺激、態度一致且不具侵入性,僅在必要時給予簡要問候、不過度主動關心,可減少其「被監視、被迫害」的解讀空間(③);同時病房仍須注意環境並定時安檢,維護其他病人的安全(②),故C正確。①錯在採主動友善且密集的互動,會升高多疑病人的威脅感,反而強化妄想。④錯在全面停止所有團體活動形同社交隔離,剝奪現實感練習與人際刺激,對降低妄想並無助益,環境治療應維持適度、可耐受的活動參與。","環境治療(milieu therapy)的核心是把病房整體環境設計成治療工具,原則包括安全、結構、支持、社會化與症狀個別化調整。對「多疑妄想型」病人,互動策略與一般病人相反:一般病人鼓勵主動關懷,妄想病人則採「短暫、一致、誠實、保持距離」的接觸,讓信任隨時間自然累積;安檢與安全維護則不因個別病人而豁免。對照記憶:躁症病人環境宜減少刺激、活動改為消耗體力型;憂鬱病人需防自殺安檢與陪伴;妄想病人重一致與誠實、忌耳語與過度熱情——耳語易被解讀為「在說我壞話」。",[24,27,30,33],{"term":25,"count":26},"被害妄想",10,{"term":28,"count":29},"環境治療",6,{"term":31,"count":32},"信任關係建立",4,{"term":34,"count":10},"病房安全",[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-009","有關思覺失調症之敘述，何者錯誤？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-106-1-psychiatric-community-055","有關世界衛生組織（WHO）的描述，下列何者錯誤？",55,106,1,{"webId":47,"stem":48,"number":49,"year":44,"session":10},"nurse-106-2-psychiatric-community-069","衛生福利部為改善山地離島地區醫療不足與就醫不便問題，規劃有能力、有意願的醫療院所，至山地離島地區提供定點或巡迴醫療服務，此計畫名稱為何？",69,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-027","醫院病房的陌生環境，易使個案產生不安的情緒，在此狀況下，改善個案對住院環境不安的措施，下列何者最適切？",27,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-psychiatric-community-071","長期暴露於何種物質的工作環境中，最容易導致罹患帕金森氏症候群？",71,109,{"webId":61,"stem":62,"number":63,"year":64,"session":45},"nurse-111-1-psychiatric-community-025","王先生，診斷為廣泛性焦慮症，住院第一天顯得坐立不安、肌肉緊繃。有關此時會談的重點，下列何者最適當？",25,111,"2026-08-06",1787299016846]