[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-011","nurse-115-2-psychiatric-community-011",115,2,11,"張先生是一位思覺失調症病人，住院期間常摀著耳朵自言自語說：「有人一直在罵我，叫我去死！」護理師發現他因此情緒顯得很焦慮。下列護理師的處置，何者最適當？",{"A":14,"B":15,"C":16,"D":17},"嚴肅地告訴張先生：「你聽到的聲音可能是真的。」","建議張先生：「可以戴上耳機聽音樂減少聲音干擾。」","告訴張先生：「只要按時吃藥，你很快就會好起來的！」","平淡地說：「這些都是幻聽，睡飽就好了。」","B",null,[],"本題考點為幻聽病人的護理處置。依幻聽照護原則,護理師應接納病人的主觀感受與其引發的焦慮,但不強化幻聽內容的真實性,並協助以現實性活動轉移注意力;戴耳機聽音樂屬「競爭性聽覺刺激」技巧,以真實聲音佔據聽覺通道、減少幻聽干擾與焦慮,是實證上常用的自我處理策略,故B最適當。A錯在附和「聲音可能是真的」等於強化幻聽的真實性,違反不爭辯也不附和的原則。C錯在「按時吃藥很快就會好」屬不實保證,阻斷治療性溝通。D錯在以「睡飽就好」輕忽帶過,否定病人的焦慮感受,亦未提供具體因應策略。","幻聽處置的標準句式是「我沒有聽到那個聲音,但我知道你聽到了,而且讓你很不舒服」——先呈現現實(不附和),再接納感受(不否定),這種雙軌回應是考題正解的原型。後續策略依序為:陪伴與安全評估(留意命令式幻聽是否叫病人傷害自己或他人,危險性最高)、轉移注意力(聽音樂、活動、與人交談)、教導自我對話與症狀因應。錯誤選項的三大原型:附和(強化妄想幻覺)、爭辯(破壞關係)、輕忽與假保證(阻斷溝通),幾乎所有幻聽溝通題都由這三類干擾項組成。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"幻聽護理",3,{"term":31,"count":32},"競爭性聽覺刺激",1,{"term":34,"count":32},"命令式幻聽危險評估",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-012","有關雙相情緒障礙症的治療，下列何者最適當？",12,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-psychiatric-community-058","臺灣水庫有優養化現象，大多會利用下列何種水質處理方式以確保水質？",58,106,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-106-2-psychiatric-community-072","某高噪音作業的員工其特殊健康檢查結果出現第三級管理，職業衛生護理師的立即處理為何？",72,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-2-psychiatric-community-030","對於有行為規範障礙症（conduct disorder）的兒童之護理，下列何者正確？",30,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-2-psychiatric-community-074","有關長期照顧管理中心照顧管理專員之職責，下列何者錯誤？",74,109,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-111-1-psychiatric-community-028","有關酒精成癮治療的敘述，下列何者錯誤？",28,111,"2026-08-06",1787299016867]