[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-003":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-106-1-精神科與社區衛生護理學-003","nurse-106-1-psychiatric-community-003",106,1,3,"一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",{"A":14,"B":15,"C":16,"D":17},"解離作用（dissociation）","合理化作用（rationalization）","抵消作用（undoing）","幻想作用（fantasy）","A",null,[],"本題考點為心理防衛機轉的辨識。個案承認遭父親性侵卻完全記不起過程,情緒潰堤時又能詳細描述,顯示創傷記憶被隔離於意識之外、與情緒暫時分裂,依此為解離作用(dissociation),故選A。B合理化作用是為難以接受的行為找看似合理的藉口;C抵消作用是以象徵性行為抵銷先前的想法或行為;D幻想作用是以想像滿足現實中無法達成的需求。本題核心是記憶與意識的隔離,符合解離,而非找藉口、抵銷或想像,故其餘選項皆不符。","解離是把痛苦的記憶、情緒或知覺自意識中分隔以自我保護,極端者形成解離性失憶或解離性身分障礙,常見於重大創傷如童年性侵。特徵是時而全然想不起、時而突然湧現的斷裂性。對比:潛抑是無意識地壓下,解離是把整段經驗切開存放。護理處置強調安全、信任關係與逐步整合創傷記憶。",[24,27,30,32],{"term":25,"count":26},"心理防衛機轉",9,{"term":28,"count":29},"解離性失憶",2,{"term":31,"count":10},"解離作用",{"term":33,"count":10},"創傷記憶",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-psychiatric-community-020","黃先生，診斷思覺失調症，表示自己是調查局南機組幹員，被派到公司臥底，最近他查到公司與某位政府高層有進行一項見不得光的交易，所以被下降頭，護理師的反應下列何者最適當？",20,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-034","有關「去機構化運動」之敘述，下列何者正確？",34,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-psychiatric-community-072","對全球環境變遷所引起的問題之描述，下列何者正確？",72,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-psychiatric-community-036","佛洛依德（Sigmund Freud）對偏差行為的看法，認為是早期發展衝突未能妥善解決的結果，此為運用下列何種模式？",36,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-psychiatric-community-070","有關國中學生健康檢查事項之敘述，下列何者正確？",70,111,"2026-09-04",1788510694570]