[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-025","nurse-115-2-psychiatric-community-025",115,2,25,"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？",{"A":14,"B":15,"C":16,"D":17},"焦慮","思考功能障礙","社交隔離","情緒崩潰","A",null,[],"本題考點為Caplan危機理論的初期壓力反應。依Caplan的危機發展階段論,個人開始面對壓力源時,最先且最普遍出現的反應是緊張與焦慮上升,並嘗試以慣用的因應方式解決問題;焦慮正是驅動個人動用因應機轉的訊號,故A最適當。B思考功能障礙與D情緒崩潰屬危機後期的表現,是慣用與新嘗試的因應方式一再失敗、緊張累積到頂點(第四階段)時才可能出現的解組狀態,並非面對壓力源之初的普遍反應。C社交隔離並非危機理論所述的初期普遍反應,而是可能出現於適應不良過程中的行為表現。","Caplan危機四階段值得整組背:第一階段——遭遇壓力源,焦慮上升,動用慣用因應方式;第二階段——慣用方式無效,焦慮持續升高,嘗試錯誤式地找新方法;第三階段——動員所有內外資源、重新定義問題,焦慮更高,此時是危機介入的黃金時機,因為求助動機最強;第四階段——問題仍未解決,緊張突破負荷,出現人格解組、思考混亂、情緒崩潰等失衡狀態。配套概念:危機具時限性,約4至6週內會達到某種平衡(好轉或惡化);危機介入目標是恢復到病前功能水準;危機也是轉機,處理得當可促成成長。",[24,27,29,32],{"term":25,"count":26},"危機介入",4,{"term":28,"count":10},"Caplan危機理論",{"term":30,"count":31},"危機發展四階段",1,{"term":14,"count":31},[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-psychiatric-community-026","下列何者為現行偏鄉與離島醫療照護之政策？①建構偏鄉數位資訊醫療照護網 ②推動空中轉診為主、在地醫療為輔的政策 ③積極興建醫學中心以保障偏遠地區民眾就醫權益 ④以醫師不動病人動為照護原則",26,{"webId":39,"stem":40,"number":41,"year":42,"session":31},"nurse-106-1-psychiatric-community-072","有關我國學校衛生的描述，下列何者錯誤？",72,106,{"webId":44,"stem":45,"number":46,"year":47,"session":31},"nurse-107-1-psychiatric-community-006","李先生罹患思覺失調症（昔稱精神分裂症；Schizophrenia）多年，因服藥遵從性不佳致經常發病住院治療，住院後，護理師評估後與醫師討論，醫囑開立 Risperidone（Risperiodone consta）25 mg 肌肉注射，下列何項正確？①藥物性質為油性 ②推藥速度宜快速 ③注射後不可按摩 ④限臀部深層肌肉注射",6,107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-2-psychiatric-community-044","有關社區資料來源之描述，下列何者錯誤？",44,108,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-1-psychiatric-community-008","病人服用抗精神病藥物，有關錐體外徑副作用（extrapyramidal symptoms; EPS）之敘述，下列何者正確？",8,110,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-111-1-psychiatric-community-042","有關社區衛生護理之特性，下列何者正確？①有較高的自主與獨立性 ②個案管理的時間較長 ③工作目標是限制殘障與復健 ④服務層面較廣",42,111,"2026-08-06",1787299017014]