[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-024","nurse-115-2-psychiatric-community-024",115,2,24,"阿明是一名 25 歲思覺失調症病人，因突發被害妄想（被工作人員故意找麻煩）、情緒躁動，突然攻擊工作人員，雖立即遭警衛壓制，但還是造成工作人員全身多處瘀青。暴力事件發生後，下列因應暴力事件的方法，何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"病房主管及同事提供支持及理解","提供工作人員關懷、和協助情緒及認知的調適","協助工作人員暫離暴力情境，重建安全感","直接找病人理論","D",null,[],"本題考點為病房暴力事件後的因應與員工照護,選出最不適當者。暴力事件後的處置重點在受害工作人員的身心復原與團隊的事件檢討:病房主管及同事提供支持與理解(A)、協助工作人員的情緒與認知調適(B)、協助其暫離暴力情境以重建安全感(C),皆屬合宜的事後處置,可預防急性壓力反應與創傷後壓力症。D「直接找病人理論」最不適當:病人的攻擊行為源於被害妄想與急性精神病症狀,與其理論不僅無法達成溝通,反而可能再度激發暴力、升高對立,也違反以治療性態度處理症狀行為的專業原則,故本題答案為D。","暴力事件的處理分三段:事前預防(辨識前兆——音量升高、來回踱步、握拳瞪視;及早以口語安撫降階)、事中處置(保持安全距離與退路、移開旁人、必要時依法定程序約束隔離)、事後處理(本題重點)。事後處理是雙軌的:對受害員工——生理檢傷、心理支持、必要時事件減壓會談(debriefing)、允許暫離情境與後續追蹤;對病人——待急性症狀穩定後,以不批判態度與其回顧事件、討論替代的情緒表達方式,這是治療性的行為回顧,與「找病人理論」的對質報復性質完全不同。機構層面則檢討通報系統與環境設計,職場暴力零容忍是政策方向。",[24,27,30,32],{"term":25,"count":26},"被害妄想",10,{"term":28,"count":29},"職場暴力後處置",1,{"term":31,"count":29},"員工心理支持",{"term":33,"count":29},"事件減壓會談",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-2-psychiatric-community-025","依據卡普蘭（Caplan）提出的危機理論，當個人開始面對壓力源時，普遍會出現的反應，下列何項最適當？",25,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-106-1-psychiatric-community-071","職業衛生護理師要評估職場失能傷害頻率（frequency rate）時需收集的資料，下列何者為必要的？",71,106,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-107-1-psychiatric-community-005","在精神科病房住院病人中，護理師與病人接觸時間最多，與病人建立治療性人際關係，宜善用此治療性人際關係，促進病人自我改變與成長，護理師在評估病人是否適合個別心理治療之條件中，下列何者為宜？①智力中上 ②個性執著 ③症狀不嚴重 ④有內省的能力",5,107,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-2-psychiatric-community-043","A、B 兩國之年齡標準化死亡率（standardized death rate）相同，但 A 國之粗死亡率（crude death rate）卻大於 B 國，下列原因何者最有可能？",43,108,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-110-1-psychiatric-community-007","對憂鬱症的病人進行「人際關係心理治療」，下列敘述何者較適當？",7,110,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-111-1-psychiatric-community-041","有關健康融入所有政策（health in all policies）的概念，下列敘述何者正確？",41,111,"2026-08-06",1787299017009]