[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-021","nurse-115-2-psychiatric-community-021",115,2,21,"李先生，45 歲，獨居，目前住院已滿 2 個月，曾有干擾家庭與社區的問題，家屬表示無法督促就醫，出院準備服務的評估發現能自我照顧但無病識感，無工作動機，出院後就不想吃藥，不會主動就醫。下列何項是出院準備服務轉介的首選？",{"A":14,"B":15,"C":16,"D":17},"精神護理之家","庇護性工作坊","居家治療","社區復健中心","C",null,[],"本題考點為出院準備服務的轉介選擇。個案能自我照顧但無病識感、出院後不想服藥、不會主動就醫,且獨居、家屬無力督促,最大風險是治療中斷後復發並再度干擾社區;居家治療由醫療團隊主動到宅提供評估、給藥與督導,正適合「有治療需求卻不會主動就醫」的個案,可維持治療的連續性,故C為轉介首選。A錯在精神護理之家適用於自我照顧功能不足、需機構式長期照護者,個案能自我照顧,不符收案條件。B錯在庇護性工作坊以有工作意願與潛能者為對象,個案無工作動機。D錯在社區復健中心須個案有動機規律前往接受訓練,與其不主動就醫的特性不符。","社區精神復健資源的配對邏輯是「功能×動機×需求」:居家治療=不出門、不就醫、無病識感者,服務主動送上門,重點在維繫治療;社區復健中心(日間型)=能通勤、有復健動機者的白天訓練;康復之家=需住宿型復健、自我照顧尚可者的過渡居所;精神護理之家=慢性退化、自我照顧功能差、需長期護理照護者;庇護性工作坊=有工作意願但尚無法進入競爭性職場者。解題時先抓個案的「短板」:本題短板不是自我照顧(能)、不是職業(無動機),而是「治療連續性斷裂」,故資源要選能把治療帶到他面前的居家治療。",[24,27,30,32],{"term":25,"count":26},"出院準備服務",12,{"term":28,"count":29},"病識感",11,{"term":16,"count":31},1,{"term":33,"count":31},"社區精神復健資源",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-2-psychiatric-community-022","有關社區精神病人個案管理原則的敘述，下列何者正確？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-106-1-psychiatric-community-068","社區衛生護理師協助弱勢族群爭取其應有的健康服務，並在適當時機傳達其需求，進而促成健康政策之擬定，此角色為：",68,106,{"webId":45,"stem":46,"number":10,"year":47,"session":31},"nurse-107-1-psychiatric-community-002","精神科護理師執行病人行為治療的過程中，有關行為治療在臨床運用之陳述，下列何項正確？ ①建立個案的增強物 ②評估個案的改變意願 ③收集個案的問題行為 ④醫療團隊人員分別規劃執行",107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-2-psychiatric-community-040","住院病人辜太太，長期於反覆的家暴中受盡折磨，辜太太表示夫妻爭吵是難免，不斷要求出院回家，請問在護理師首次接案時，下列輔導技巧何者較適切？①耐心面對辜太太的防禦心，傾聽訴說 ②應明顯立即面質辜太太的防禦心 ③護理師將焦點放在支持與增加資源的聯結 ④覺察辜太太之矛盾與壓力",40,108,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-1-psychiatric-community-004","有關兒童精神疾病的敘述，下列何者正確？",4,110,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-111-1-psychiatric-community-038","王小姐，45 歲，體重適中，是居住在社區的思覺失調症病人，因服用抗精神病藥物 clozapine，之後發現有代謝症候群。下列敘述何者最適當？",38,111,"2026-08-06",1787299016977]