[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-040","nurse-115-2-psychiatric-community-040",115,2,40,"68 歲張先生從未做過健康檢查，護理師家訪時詢問原因，張先生說：「沒檢查就沒事，去檢查就會有事」，下列何項回應最不適當？",{"A":14,"B":15,"C":16,"D":17},"我理解您對健康檢查的擔憂，許多人都有類似的感受","健康檢查可幫助您及早發現潛在的健康問題以及時治療","健康檢查對您很重要，我來幫您預約免費的健康檢查","您害怕檢查結果有異常，您在擔心什麼事嗎？","C",null,[],"本題考點在於面對健康信念與恐懼時的治療性溝通技巧。張先生的陳述反映對檢查結果的恐懼與宿命信念,此時應先同理並探索感受,再提供資訊;C 直接跳到替他預約,屬於在情緒未被處理前逕行代為決定,忽略其擔憂並剝奪自主選擇,溝通上最不適當,故選 C。A 以同理與正常化回應情緒,能降低防衛。B 在同理之後澄清健康檢查的次段預防意義,是提供正確資訊而非施壓。D 反映情緒並以開放式問句引導表達,可進一步找出恐懼的具體來源,符合治療性溝通原則。","此題把治療性溝通與健康信念模式綁在一起考:張先生的說法屬於自覺障礙中的心理阻力(害怕發現壞消息)加上低自覺易感性,若只給資訊或直接安排,阻力並未移除,行為仍不會發生。溝通技巧的層級可記成「先情緒、後資訊、再行動」:同理(empathy)、正常化(normalizing)、反映(reflecting)與澄清(clarifying)屬情緒層;提供資訊(informing)屬認知層;安排與轉介屬行為層,順序顛倒即為非治療性溝通。常見的非治療性溝通還包括給保證(不會有事的)、說教與價值判斷、擅自替病人決定、轉移話題與過早提出建議。可延伸複習:動機式晤談的表達同理、發展矛盾、避免爭辯與支持自我效能四原則,以及成人預防保健服務(四十歲以上定期健檢)的服務內容與次段預防定位。",[24,27,30,32,35],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"自覺行動障礙",4,{"term":31,"count":29},"動機式晤談",{"term":33,"count":34},"同理與反映技巧",1,{"term":36,"count":34},"非治療性溝通",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-115-2-psychiatric-community-041","在推展或擬定原住民健康相關政策時，下列何者最不適當？",41,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-106-2-psychiatric-community-007","記憶力分為許多層次，關於其各種檢測評估方法的敘述，下列何者正確？",7,106,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-107-1-psychiatric-community-021","簡先生，24 歲，診斷為思覺失調症，個子矮小，沒自信，說話極小聲，從小求學成績不佳，人際關係不好，後來被分派到資源班就讀，常受同學欺負，護理師今天發現個案都躲在房間不願意到大廳活動，與之會談表示某病友昨天傍晚打他，搶他的食物吃，有走到護理站，但不知怎麼跟護理師說。護理師的回應，下列那一項最適切？",21,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-2-psychiatric-community-059","衛生福利部中央健康保險署 2015 年決議二代健保的描述，下列何者錯誤？",59,108,{"webId":58,"stem":59,"number":60,"year":61,"session":34},"nurse-110-1-psychiatric-community-023","照顧罹患身體症狀及相關障礙症的病人，須特別評估隨著症狀表現而來的附帶收獲（secondary gain），下列何項描述較適當？",23,110,{"webId":63,"stem":64,"number":65,"year":66,"session":34},"nurse-111-1-psychiatric-community-057","有關體適能的敘述，下列何者錯誤？",57,111,"2026-08-06",1787299017201]