[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-022","nurse-115-2-psychiatric-community-022",115,2,22,"有關社區精神病人個案管理原則的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"因為家屬無病識感，不需與家屬建立治療結盟關係","社區服務資源多元，協助個案進行資源連結","個案拒絕家訪，則改為持續電訪服務即可","日常生活管理並非社區精神科個案管理的重點","B",null,[],"本題考點為社區精神病人個案管理的原則。個案管理的核心功能是評估個案的多面向需求,並協助連結醫療、復健、就業、福利等多元社區服務資源,使個案在社區中維持穩定生活,故B正確。A錯在家屬是社區照護的重要合作夥伴,即使家屬病識感或疾病知識不足,更應透過衛教與溝通建立治療結盟關係,而非放棄結盟。C錯在家訪能實地評估居家環境、服藥狀況與實際功能,是電訪無法取代的;個案拒訪時應探討原因、調整接觸策略以重建信任,不能只改為持續電訪了事。D錯在服藥管理、作息、金錢與日常生活功能的管理,正是社區精神個案管理的重點項目。","個案管理(case management)的六大功能可記為「找、評、計、連、督、護」:個案發現、需求評估、擬定照護計畫、資源連結與轉介、監測與追蹤、權益倡導。其中「資源連結」是個案管理有別於直接照護的招牌功能——個案管理師不必親自提供所有服務,而是當個案與資源網絡間的橋樑。社區家訪的價值在於看見診間看不到的真相:藥袋是否原封不動、冰箱有無食物、居住環境安全與否,因此拒訪議題的正解方向永遠是「理解原因、修復關係、彈性接觸」,而非降級服務。家屬工作與高情感表達的處理,亦是防復發的重要槓桿。",[24,27,30,33],{"term":25,"count":26},"個案管理",10,{"term":28,"count":29},"資源連結",4,{"term":31,"count":32},"家庭訪視",3,{"term":34,"count":35},"治療結盟",1,[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-psychiatric-community-023","自殺企圖病人在急性精神科住院時之護理措施，下列何者最不適當？",23,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-106-1-psychiatric-community-069","社區衛生護理師在遊民庇護所及貧民住宅區促成醫療診所的設置，是屬於何種個案管理策略的應用？",69,106,{"webId":47,"stem":48,"number":32,"year":49,"session":35},"nurse-107-1-psychiatric-community-003","一位診斷為嚴重憂鬱症的女性，結婚生完孩子後便沒有外出工作，成為全職媽媽，平日全心投入照顧家庭，較少有其他社交活動。面對叛逆與不愛唸書的青少年孩子，常過度苛責是自己的錯，一切都是她沒做好母親的角色，此種心理防衛機轉，較可能是使用下列何者？",107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-041","欲了解社區中罕見疾病的危險因子，下列何種流行病學方法最適合？",41,108,{"webId":56,"stem":57,"number":58,"year":59,"session":35},"nurse-110-1-psychiatric-community-005","在生物化學研究中，憂鬱症病人最可能缺乏那些神經傳導物質？",5,110,{"webId":61,"stem":62,"number":63,"year":64,"session":35},"nurse-111-1-psychiatric-community-039","承上題，對王小姐因藥物副作用產生的代謝症候群，下列何項護理措施最適當？",39,111,"2026-08-06",1787299016983]